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case 6 herpes zoster

case 6 herpes zoster at trunk

case 53 male patient underlying HIV on ARV

patient history : 4day PTA started to have group of vesicle along trunk , rash pain make him could not sleep at night

Physical examination : group of vesicle on erythematous base on right side of trunk along t4 dermatome

impression : herpes zoster

treatment : Acyclovir 800 mg 5 times per days for 7 days

Gabapentin 300 mg po hs for 7 day

follow up :  1 week


Follow up , 1 week later 

Vesicle turn to dry crust ,pain score decrease to 2\10

Treatment : fucidin cream ,atarax

One month follow up 

Clinical improve ,lesion turn to hypo and hyper pigmentation


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