[CIS PIDD] [cis-pidd] Recurrent Zoster

[Richard Wasserman]

I am seeing a 13 yo otherwise healthy girl who had her first episode of
apparent herpes zoster four years ago in the distribution of the ophthalmic
branch of the trigeminal nerve without involvement of the globe. Since the
first episode there have been 15 additional episodes until the last two
that appear to involve a limited area of the C2 distribution. That is, the
rash is about 2x4 cm over the sternocleidomastoid muscle about 3 cm caudal
to the mastoid. I saw the last episode, it looked like zoster. Culture
obtained on the first day of blistering failed to grow either herpes
zosteror herpes simplex. There may have been a response to high dose
valacyclovir.

CBC, CD3,4,8,19, and 16/56 were all normal. IgG anti-herpes zoster was
present, IgA, IgG and IgM were normal as was the response to PHA, PWM and
ConA.

I think she needs a biopsy of the next recurrence in a cosmetically
acceptable location. Suggestions?

Thanks,
Richard Wasserman
Dallas

-- 
Richard L. Wasserman, MD, PhD
DallasAllergyImmunology
7777 Forest Lane, Suite B-332
Dallas, Texas 75230
Office (972) 566-7788
Fax (972) 566-8837
Cell (214) 697-7211

---
The CIS-PIDD listserv is supported by the Clinical Immunology Society
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org to join!

You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183939985.3ea13d40a15475ac00ebbd9cd8a37d6d&n=T&l=cis-pidd&o=44160179
or send a blank email to leave-44160179-183939985.3ea13d40a15475ac00ebbd9cd8a37d6d at lists.clinimmsoc.org
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/pipermail/pagid/attachments/20131122/ef3cd5e1/attachment-0001.htm>