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A Case for Diagnosis (Herpes Zoster? Herpes Simplex of Buccal Mucosa?). Presented by Dr. Fred Wise.
M. G., a man aged 30, was referred by Dr. Tenney to the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital. The patient presents pinhead-sized discrete and confluent vesicles, many of which have ruptured and left impetiginous crusts on the left cheek. The left side of the face is markedly swollen. In the mouth, on the left buccal mucosa and on the left side of the hard palate, are a number of whitish ruptured vesicles on an erythematous background. The cervical gland on the left side is enlarged.
DISCUSSION
Dr. Howard Fox: In my opinion the disorder is herpes zoster involving the second division of the fifth nerve. The only feature which is unusual and which speaks against zoster is the absolute absence of pain. Points in favor