Herpes Zoster Duplex Bilateralis in Immuno-Competent Patients: Report of Two Cases

Abstract

Herpes Zoster is a common viral disorder, occurs due to reactivation of latent Varicella Zoster Virus (VZV) usually in adults or elderly patients, usually confined to a single dermatome. Herpes zoster duplex is a rare but well established entity which is simultaneous, occurring of herpes zoster at two different non contiguous dermatomes, can be unilateralis or bilateralis. Here we are reporting two cases of herpes zoster duplex bilateralis, in case-1 lesions occurs in two different distant dermatomes while in case-2 it appeared in a single dermatome but both sides were involved. Both the patients were healthy immuno-competent male.

Erythema nodosum, zoster duplex and pityriasis rosea as possible cutaneous adverse effects of Oxford–AstraZeneca COVID‐19 vaccine: report of three cases from India

“…Mehta, 1 S. Handa, 1 P. Malhotra, 2 M. Patial, 1 S. Gupta, 1 A. Mukherjee, 2 D. Chatterjee, 3 A. Takkar, 4 R. Mahajan 1,* Dear Editor, During the COVID-19 pandemic, acne was a commonly reported adverse reaction to medical face mask use amongst healthcare providers (HCP). [1][2][3][4][5][6][7][8] A cross-sectional, online survey applied to HCP was conducted from 17 December 2020 until 17 February 2021. This study was approved by University's Ethical Committee and conducted according to the principles of the Declaration of Helsinki.…”

“…6 Herpes zoster duplex bilateralis has been reported rarely in immunocompetent adults. 7 Third case was a 24-year-old man with complaints of asymptomatic cutaneous eruption from three days. Examination revealed several well-defined round to oval salmon-coloured papules and plaques up to 3 cm in diameter covered by fine white scales over his trunk, back and axillae (Fig.…”

Detection of varicella‐zoster virus in two dermatomes of herpes zoster duplex bilateralis in an immunocompetent host

“…This phenomenon is unusual in individuals with intact immune systems. 6 HZ duplex, treated in the same way as typical HZ, has a good prognosis and there are very few reports of severe disease.…”

Herpes zoster duplex bilateralis symmetricus in an immunocompromised patient with recent varicella infection

“… 24 M R: T8 L: T8 – Pakistan [17] 5. 55 M R: T4 L: T4 – India [18] 6. 48 F (our case) R: L5 L: L5 SLE Thailand – Abbreviations: F = female; HIV = Human Immunodeficiency Virus Infection; L = left; M = male; R = right; SLE = Systemic Lupus Erythematosus …”