DermAtlas: Online Dermatology Image Library dermatology image,zoster,Herpes zoster,shingles,ecthyma gangrenosum,zoster, disseminated,varicella

© 2001-2010, DermAtlas	*Image Name:*	Herpes_Zoster_1_080318	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / HERPES ZOSTER / SHINGLES	*Category:*	infections and infestations / vesiculobullous eruptions
	*Body Site:*	trunk / back abdomen	*Age:*	13 years
	*Contributor:*	Sudip Ghosh, MD
	*Description:*	clustered discrete and confluent 2-5 mm red to purple papules and vesicles in dermatomal pattern
	*Comments:*	This 13-year-old type 1 diabetic girl complained of burning and severe pain on the right side of her trunk. Mutinucleated giant cells were seen on Tzanck smear confirming the clinical diagnosis of shingles.

© 2001-2010, DermAtlas	*Image Name:*	Herpes_Zoster_1_071031	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / HERPES ZOSTER / SHINGLES	*Category:*	infections and infestations / vesiculobullous eruptions
	*Body Site:*	trunk / back	*Age:*	47 years
	*Contributor:*	Nasser Altamimi
	*Description:*	dermatomal clusters of uniform 2 mm red papules most with central vesicles and crusts stretching across the upper back and chest
	*Comments:*	This healthy 47-year-old man complained of chest pain for a few days before developing an itchy burning dermatomal eruption on the chest and back.

© 2001-2010, DermAtlas	*Image Name:*	herpes_zoster_1_060320	*File Type:*	jpg
	*Diagnosis:*	HERPES ZOSTER / ZOSTER	*Category:*	vesiculobullous eruptions / linear eruptions / dermatomal eruption
	*Body Site:*	forehead / eye lid face	*Age:*	34 years
	*Contributor:*	Abhay Martin, MD
	*Description:*	clustered dermatomal vesicles, erythema, edema, and crusting
	*Comments:*	This 34-year-old man developed a painful unilateral blistering eruption over his right eye and forehead with erythema, edema, and crusting 3 days earlier.

© 2001-2010, DermAtlas	*Image Name:*	ecthyma_1_060410	*File Type:*	jpg
	*Diagnosis:*	ECTHYMA GANGRENOSUM / ZOSTER	*Category:*	abscess
	*Body Site:*	buttock	*Age:*	12 years
	*Contributor:*	Naeem Alhayani, DVD
	*Description:*	12 years old boy presented with 2 strange large greenish bulla like abscesses on the lateral aspect of buttock and lower back.they clear rapidly with gentamycin injection and topical.
	*Comments:*	This 12-year-old boy developed 2 large greenish bullae on the lateral aspect of his right buttock and lower back. A bacterial culture grew pseudomonas, and the lesions cleared with intramuscular and topical gentamicin.

© 2001-2010, DermAtlas	*Image Name:*	herpes_zoster_1_050918	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / SHINGLES	*Category:*	vesiculobullous eruptions / infections and infestations
	*Body Site:*	thigh / leg	*Age:*	35 years
	*Contributor:*	Manoj Ram, MD
	*Description:*	grouped dermatomal uniform 1-3 mm vesicles
	*Comments:*	This 35-year-old man complained of painful blisters on the anterolateral aspect of his right leg for 3 days. The eruption was associated with low grade fever.

© 2001-2010, DermAtlas	*Image Name:*	newborn_zoster_1_050501	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / HERPES ZOSTER / SHINGLES	*Category:*	neonatal dermatology / vesiculobullous eruptions / infections and infestations
	*Body Site:*	scalp	*Age:*	4 weeks
	*Contributor:*	Bernard Cohen, MD
	*Description:*	dermatomal clustered uniform 3-5 mm vesicles on a red base
	*Comments:*	A healthy newborn boy developed an eruption comprised of uniform vesicles to confluence on left side of his scalp. His mother had a history of varicella during the second trimester. The lesions cleared without complications.

© 2001-2010, DermAtlas	*Image Name:*	Herpes_zoster_1_050228	*File Type:*	jpg
	*Diagnosis:*	HERPES ZOSTER / SHINGLES / ZOSTER	*Category:*	infections and infestations / vesiculobullous eruptions
	*Body Site:*	forehead / eye lid	*Age:*	46 years
	*Contributor:*	Mahmoud Hijazy, PH.D
	*Description:*	Vesiculo bullous eruption of the forehead and eyelids
	*Comments:*	This 46-year-old man developed an itchy tender eruption comprised of grouped 2-3 mm vesicles on the forehead and upper eye lid.

© 2001-2010, DermAtlas	*Image Name:*	HERPES_ZOSTER_OPHTHALMICUS_1_050219	*File Type:*	jpg
	*Diagnosis:*	HERPES ZOSTER / ZOSTER / SHINGLES	*Category:*	dermatomal eruption / vesiculobullous eruptions
	*Body Site:*	face / eye lid forehead	*Age:*	55 years
	*Contributor:*	Yahia Albaili, DO
	*Description:*	grouped crusted vesicles with surrounding erythema and edema
	*Comments:*	This 55-year-old man developed a dermatomal vesicular eruption involving the ophthalmic branch of the right trigemminal nerve.

© 2001-2010, DermAtlas	*Image Name:*	zoster_1_050202	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / HERPES ZOSTER / SHINGLES	*Category:*	vesiculobullous eruptions / infections and infestations
	*Body Site:*	back / axilla (armpit)	*Age:*	5 years
	*Contributor:*	Nader Shaikh, MD, MPH
	*Description:*	unilateral dermatomal red well demarcated plaque studded with clustered vesicles and crusts
	*Comments:*	This 5-year-old healthy girl developed a painful blistering eruption on the right side of her back extending into the axilla and onto the right upper chest.

© 2001-2010, DermAtlas	*Image Name:*	varicella_2_041101	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / ZOSTER, DISSEMINATED / VARICELLA	*Category:*	vesiculobullous eruptions / infections and infestations
	*Body Site:*	scalp / neck	*Age:*	25 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	grouped crusted vesicles
	*Comments:*	This 25-year-old man with psoriatic arthritis and widespread psoriasis, who was treated with combination oral methotrexate 15 mg/week, and subcutaenous tumor necrosis factor blocker (Enbrel) 25 mg twice weekly, developed a minimally pruritic eruption on the back of scalp followed 1-2 days later by a widespread vesicular eruption on the trunk, extremities, and mouth. A Tzanck preparation showed multinucleated giant cells, and aulture for Herpes simplex virus were negative. Treatment was temporarily discontinued pending culture results and the clinical course, and oral valacyclovir was started at 1 gram orally 3 times daily. He never felt ill or developed fever, and within 3 days he stopped developeing new lesions. All lesions had fully crusted 10 days later. He had a history of varicella at under 10 years of age and denied recent exposure to varicella. The generalized eruption was preceded by a crusted eruption on the back of the scalp for 4-5 days consistent with shingles.
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