Clinical manifestations complications-herpes zoster

  • Uncomplicated: pain in a dermatomal distribution → dermatomal eruption of erythematous papules → vesicles → crusted plaques in varying stages of evolution
  • Disseminated: vesicles across multiple dermatomes, visceral organ involvement (pneumonia, hepatitis, CNS) seen in immunosupp. (eg, transplant, malignancy)
  • Zoster opthalmicus: ocular involvement (V1 of CN V) requires urgent ophtho eval
  • Post-herpetic neuralgia: neuropathic pain lasting >90 d after dx