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Herpes Zoster
This is a classic case of herpes zoster. Note that the rash is limited to T5-6 dermatomes.
A 36-year-old man experienced left-sided chest pain for 3 days, after which these skin eruptions developed. The patient was ostensibly in good health.
Key point: Close examination disclosed that the curvilinear eruption consisted of both erythematous papules and small plaques, often surmounted by small vesicles. This is a classic case of herpes zoster. Note that the rash is limited to T5-6 dermatomes.
Treatment: The patient was given oral valacyclovir (1 g, tid) for 7 days. The use of concomitant gabapentin was discussed, but the patient declined to take an additional medication.
Note: In cases of shingles, pain often precedes the characteristic skin eruption by a few days to a week. The absence of a rash does not preclude the diagnosis of herpes zoster.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
