Herpes Zoster Duplex Symmetricus along with Ramsay Hunt Syndrome in an Acute Abdomen

Herpes zoster (HZ) duplex symmetricus is an extremely rare variant of multidermatomal HZ where there is the involvement of bilaterally symmetrical dermatomes. This generally occurs in immuno-compromised individuals and is unusual in immunocompetent host. When occurring over the face, it can be assoc...

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Bibliographic Details
Published inJournal of Marine Medical Society Vol. 24; no. 3; pp. 143 - S145
Main Authors Vashisht, Deepak, Pathania, Vikas, Bhatt, Siddharth, Shah, Nazir
Format Journal Article
LanguageEnglish
Published Medknow Publications and Media Pvt. Ltd 01.07.2022
Wolters Kluwer Medknow Publications
Subjects
Acute abdomen
Causes of
Complications and side effects
Diagnosis
Drug therapy
Hearing loss
herpes zoster duplex symmetricus
multidermatomal herpes zoster
Ramsay Hunt syndrome
Shingles (Disease)
varicella zoster virus
India
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Summary:Herpes zoster (HZ) duplex symmetricus is an extremely rare variant of multidermatomal HZ where there is the involvement of bilaterally symmetrical dermatomes. This generally occurs in immuno-compromised individuals and is unusual in immunocompetent host. When occurring over the face, it can be associated with Ramsay Hunt syndrome. Bilateral symmetrical lesions present a unique diagnostic dilemma owing to morphological similarities with Eczema Herpeticum and rarely enteroviral infections. In such cases, correct interpretation of serological tests helps in the diagnosis of the condition. Here, we present the case of HZ duplex symmetricus occurring in an immune-competent individual over bilateral V1 3 and C4 dermatome (left) along with facial palsy.
ISSN:0975-3605
DOI:10.4103/jmms.jmms_152_20