Dr. SANGEETA BHADRA

Dr.Bithi Chowdhury

Abstract

A 52 year old woman presented with fever since 3 days and associated burning sensation on forehead and around right eye since 2 days ,Vesicular eruptions since 1 day,Discharge (RE) since1 day and diminision of Vision (RE) since 1 day .

RE positive fibdings are -Vn 6/12,

Externally erythamatous skin, groups of colored fleshy vesicles on right side of forehead, right upper eyelid, along lid margin, side and tip of the nose. (Hutchinson’s Sign positive)

cornea-Clear with Ulcer

conjunctival Hyperemia +

LE-normal

Dendritic in pattern Fluorescein +ve) Sensation reduced

Investigation

Cytological examination of cutaneous vesicular scraping revealed multiple eosinophilic intranuclear inclusions(Lipschutz’s bodies),Multinucleated giant cells(Tzanck’s preparation)

Immune electron microscopy revealed VZV antigens.

Diagnosis

Prodromal phase of HERPES ZOSTER OPHTHALMICUS

Treatment

Systemic :