Herpes zoster physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; L. Katie Morrison, MD; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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Physical Examination

(Images shown below courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

Herpes Zoster: Coalesced vesicles resulting from reactivation of HZV infection.
Herpes Zoster: Dermatomally distributed vesicles, many of which have coalesced, in patient with HZV infection.
Herpes Zoster: Dermatomally distributed vesicles in patient with HZV infection.
Herpes Zoster: Dermatomally distributed vesicles, many of which have coalesced, in patient with HZV infection.
Shingles on waist

Herpes Zoster.
(Courtesy of Josh Fierer, M.D. and Charlie Goldberg, M.D.)
Herpes Zoster C3 Distribution: Dermatomally distributed vesicles, many of which have coalesced, in patient with HZV infection.
Herpes Zoster C3 Distribution: Dermatomally distributed vesicles, many of which have coalesced, in patient with HZV infection.
Dermatomal involvement of skin rash
Shingles on face

Child with shingles who had a history of leukemia
Plantar foot rash caused by herpes zoster
Vesicular lesions of Herpes zoster
The pathologic changes seen on the surface of the right unilateral side of this elderly male patient’s tongue and chin, represent a herpes outbreak due to the Varicella zoster virus (VZV) pathogen, which may lay dormant in the spinal nerve roots through a chicken pox infected individual’s life, only manifesting its presence through outbreaks, as Shingles, or herpes zoster. It is caused by the Herpesviridae chickenpoxvirus.
The pustulo-vesicular rash on this African-American woman’s face, represents a herpes outbreak due to the Varicella zoster virus (VZV) pathogen, which may lay dormant in the spinal nerve roots through a chickenpox infected individual’s life, only manifesting its presence through outbreaks, as Shingles, or herpes zoster. It is caused by the Herpesviridae chickenpoxvirus.

This 1968 image depicted a number of varicella, or chickenpox lesions on a patient’s back, which were displaying the characteristic “cropping” distribution, or manifesting themselves in clusters, each in a different developmental stage.
This patient presented with what was differentially diagnosed as a herpes zoster outbreak in order to rule out syphilis.
This skin disorder was found to be herpes zoster, not syphilitic in nature as was initially suspected.