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KMID : 0363220110490121098
Korean Journal of Dermatology
2011 Volume.49 No. 12 p.1098 ~ p.1101
Herpes Zoster Duplex Symmetricus in a Healthy Patient
Lee See-Hyun

Jung Hye-Jung
Park Mi-Youn
Ahn Ji-Young
Abstract
Herpes zoster duplex, particularly herpes zoster duplex symmetricus, is a very rare manifestation of herpes zoster that occurs in immunocompetent patients. A 23-year-old Korean man presented with grouped erythematous, ruptured, crusted vesicles on plaques and papules on his forehead and both temporal areas. He had unexplained pain around the cutaneous lesions for the past 2 weeks, and the vesicles developed 1 week ago. A Tzanck smear test of the skin lesion showed multinucleated giant cells. A punch biopsy taken from the vesicle on the forehead revealed an intraepidermal vesicle with acantholysis and balloon cells at the floor of the vesicle. He was diagnosed with herpes zoster involving bilateral dermatomes.
KEYWORD
Bilateral dermatomes, Herpes zoster duplex
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