Atypical Presentation of Herpes Zoster: A Clinical Case Report

Abstract

Introduction: Herpes zoster, which is infected with varicella zoster virus (VZV), is a neurological infection and an immunodeficiency syndrome. Most patients who contact physicians complain of itchy and sometimes painful skin rashes. Herpes zoster, also known as "shingles," results from the reactivation of VZV in the dorsal ganglia. Most skin patches occur on the hands or abdomen; rashes on the feet are rare. We aimed to report Herpes zoster presentation in the foot. Case Presentation: A 47-year-old male patient presented to private practice with a rash, itching, and pain in the left lower extremity for 3 days. He was diagnosed with herpes zoster and symptoms were relieved by the administration of acyclovir five times daily for one week. The patient was advised to use Calamine lotion, a cool bath, and a cold compress to relieve the pain and itching. On his next visit to the office, the rash on the left lower extremity disappeared after using the prescriptions and methods. Conclusion: Considering that the prevalence of herpes zoster in the hands and feet is very low and only 7 cases have been reported in the world. This case was reported for the first time in Iran. Knowing the presentation of the disease and getting to know the patients' complaints can help in timely diagnosis and control.