Multidermatomal herpes zoster ophthalmicus in an immunocompe
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Herpes zoster (HZ) is caused by varicella zoster virus, which most commonly affects the thoracic (45%), cervical (23%), and trigeminal nerve (15%). Multidermatomal involvement is rare in an immunocompetent patient. We report an unusual case of HZ ophthalmicus involving all three divisions of trigeminal nerve including the superficial cervical plexus in an immunocompetent male. We recommend in such situation patient should be followed up to ensure earlier tests were not done during the window period.

Case Report
A 55-year-old male presented with pustular, vesicular, and maculopapular eruptions over the right half of face. The lesions initially began on the right upper lip approximately 10 days back with pain and burning sensation. He was treated by his family physician but the situation worsened after which he was referred to us. The lesions involved the whole right side of the face, right forehead, right external ear, and right side of the neck [Figure 1]. The whole right side of face was extremely edematous. He did not give any history of similar lesions or any other major illness. Ophthalmic examination revealed conjunctival congestion in the right eye with lid edema. Rest of the ocular examination did not reveal any abnormalities. After the edema subsided, both eyes revealed decreased corneal sensation.

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