Posters

Rare presentation of herpes zoster ophthalmicus: about 2 cases

Poster Details

First Author: M.Chekhchar MOROCCO

Co Author(s): S. Belghmaidi   R. Bouda   I. Hajji   A. Mouataouakil           

Abstract Details

Purpose:

The bilateral symmetrical occurrence of HZO lesions is extremely rare. Exceptionally HZO staggered several metamers.

Setting:

Herpes zoster ophthalmicus (HZO) occurs when reactivation of the latent virus in the trigeminal ganglia involves the ophthalmic division of the nerve. It represents approximately 10% to 20% of cases of Herpes Zoster with the frontal branch being most commonly involved.

Methods:

We report a cases of bilaterally symmetrical HZO in an old immunocompetent woman, and an unusual case of HZ affecting all Three Divisions of Trigeminal Nerve in an immunocompetent female, which is extremely rare.

Results:

A 75 year old woman who developed bilateral symmetrical HZO lesions. Slitlamp examination reveals bilateral superficial punctate keratitis. Oral Valacyclovir 1g thrice a day was given. The lesions healed completely within two weeks. A 35-year-old female presented with HZO affecting all 3 divisions of Trigeminal nerve. Cutaneus examination revealed multiple grouped vesicles on an erythematous base were seen over right upper lip, tip of nose, and right cheek. Slitlamp examination of right eye showed bilateral sclerokeratitis. Patient was started on 1 g valacyclovir orally 3 times a day. The lesions crusted and the patient recovered within 7 days of treatment.

Conclusions:

Herpes zoster is usually unilateral, multiple dermatomal involvement is rare, bilateral asymmetrical distribution of herpes zoster lesions with incidence of approximately less than 1%. Bilateral VZV reactivation in absence of systemic immunocompromised condition even makes it an even rarer.

Financial Disclosure:

None