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Disseminated herpes zoster with accompanying Ramsay Hunt syndrome in an immunocompetent patient
( Hyun Ju Kim ) , ( Jin Ho Bae ) , ( Euy Hyun Chung ) , ( Moon Kyun Cho ) , ( Sang Hoon Lee ) , ( Sung Yul Lee )
UCI I410-ECN-0102-2015-500-002012980
This article is 4 pages or less.

Herpes zoster is characterized by unilateral, localized grouped vesicles along the distribution of a dermatome, and that results from reactivation of endogenous varicella-zoster virus (VZV), which had persisted in latent form within sensory ganglia following an earlier attack of varicella. Disseminated herpes zoster usually 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 mostly occurs in old or immunocompromised patients such as with hematological malignancies, human immunodeficiency virus (HIV) infection or using immunosuppressants after organ transplantation. A 31-year-old man presented with tinnitus, mild hearing loss, stabbing pain and erythematous grouped vesicles on external auricle of right ear and ipsilateral temporal region. And he also showed multiplediscrete vesicles with erythematous base mainly scattered over the trunk. Tzanck smear preparation on the vesicles on the trunk revealed multinucleated giant cells suggestive of varicella zoster infection. 1 week later, he developed facial palsy of right side of face. He had no history of chronic systemic illness, HIV infection, or immunosuppressive therapy. Herein, we report a rare case of disseminated herpes zoster with accompanying Ramsay Hunt syndrome in a immunocompetent patient.

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