Herpes Zoster, Unusual Skin Presentation as Part of Wegener’s Granulomatosis: A Case Report

Abstract

Introduction: Wegener's granulomatosis is a lethal disease with granulomatous inflammation and necrotizing vasculitis. Case Presentation: The case was a 63-year-old female with a history of Wegener's granulomatosis presented with erythema of the arm within which there was a crusted or ulcerated lesion surrounded by small vesicles that was confirmed as herpes simplex infection. Conclusions: Current standard of care for treatment of Wegener's regimens are related to opportunistic infections. Wegener's granulomatosis is a vasculitis that the presence of cutaneous presentation of herpes zoster would be explained by the modulation of immunity.