Intermittent Transient Flaring Rash Post Herpes Zoster

      Herpes zoster (HZ) is an often painful and incapacitating acute viral illness characterized by inflammation of the dorsal root ganglia or extramedullary cranial nerve ganglia and vesicular eruptions of the skin or mucous membrane in an area supplied by the afflicted nerve. HZ, also known as shingles, is derived from the Latin word cingulum, meaning 'girdle.' (
      • Ehrenstein B.
      [Diagnosis, treatment and prophylaxis of herpes zoster].
      ). The typical HZ presentation is a unilateral rash that often wraps around the torso like a girdle. In immune-competent individuals, HZ manifests as a rash that lasts 2–3 weeks and is accompanied by moderate to severe discomfort. Postherpetic neuralgia (PHN) is a consequence of HZ infection that can last weeks, months, or even years after the rash has healed. We present a case of HZ that was treated and how it resolved and then flared back up with a manifestation of recurrent hyperemia in the same anatomic distribution.
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        • Ehrenstein B.
        [Diagnosis, treatment and prophylaxis of herpes zoster].
        Z Rheumatol. 2020; 79 ([in German]): 1009-1017
      1. Centers for Disease Control and Prevention (CDC). Clinical overview of herpes zoster (shingles). Available at: Accessed 5 October 2020.

        • Bader MS.
        Herpes zoster: diagnostic, therapeutic, and preventive approaches.
        Postgrad Med. 2013; 125: 78-91
        • Sampathkumar P
        • Drage LA
        • Martin DP.
        Herpes zoster (shingles) and postherpetic neuralgia.
        Mayo Clin Proc. 2009; 84: 274-280
        • Rowbotham MC
        • Davies PS
        • Verkempinck C
        • Galer BS.
        Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia.
        Pain. 1996; 65: 39-44
        • Wu CL
        • Raja SN.
        An update on the treatment of postherpetic neuralgia.
        J Pain. 2008; 9 (1 suppl): S19-S30
        • Sabatowski R
        • Gálvez R
        • Cherry DA
        • et al.
        Pregabalin reduces pain and improves sleep and mood disturbances in patients with post-herpetic neuralgia: results of a randomised, placebo-controlled clinical trial.
        Pain. 2004; 109: 26-35