Motor weakness following herpes zoster outbreaks has been well documented, with about half of the cases involving the cranial nerves, typically the facial nerve, and the other half involving the extremities.1 The first case, reported in 1866, described motor involvement following brachial plexus zoster.2 Interestingly, myotomal paresis involving thoracic segments is unusual and has been reported only rarely in the dermatology literature.1 We report a case of dermatomal herpes zoster infection with subsequent abdominal muscle weakness.