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A Rare Case of Herpes Zoster with C7 Involvement Mimicking Dermatitis: An Elusive Diagnosis
Muhammad Arslan Nizam1, Amna Iqbal2, Saima Chaudry3
1Department of Medicine, CMH Lahore Medical College, Lahore, Pakistan.
Abstract:
Herpes Zoster commonly involves thoracic and cranial dermatomal distributions. It is caused by reactivation of the latent varicella-zoster virus (VZV) due to immunosuppression or increasing age. However, uncommon regional presentation for shingles such as the palmar creases, may lead to a misdiagnosis. We report an unusual case of C7 dermatome presentation, prematurely mistaken as contact dermatitis or scabies due to lack of a clustered appearance. Prevention with vaccination is key and so is avoiding delays in diagnosis due to late complications that may arise.
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