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KMID : 0032220100220020199
Annals of Dermatology
2010 Volume.22 No. 2 p.199 ~ p.202
A Case of Human Immunodeficiency Virus Infection Initially Presented with Disseminated Herpes Zoster
Shin Bong-Seok

Na Chan-Ho
Song In-Guk
Choi Kyu-Cherl
Abstract
Herpes zoster is characterized by unilateral grouped vesicles along the distribution of a single dermatome. Disseminated herpes zoster usually is defined as a generalized eruption of more than 20 extra-dermatomal vesicles occurring within a week of the onset of classic dermatomal herpes zoster. It occurs chiefly in old or debilitated individuals, and especially in patients with underlying malignancy, immunosuppressive therapy, or human immunodeficiency virus (HIV) infection. A 51-year-old man presented with segmental grouped vesicles on the left upper trunk and arm, and a varicella-like eruption over the entire body. Tzanck smear preparation and punch biopsy done on the vesicles of the trunk indicated a herpetic infection. Later, he was found to be HIV-positive. We report a rare case of HIV infection initially presenting with disseminated herpes zoster.
KEYWORD
Disseminated herpes zoster, Extradermatomal, HIV infection
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