A Case for Diagnosis (Acute Zosteriform Vasculitis?). Presented by Dr. F. Ronchese.
A woman aged 21 had a sudden onset of grouped erythematous lesions in the right lower abdominal quadrant about 6 months ago. There was no pain, itching, or blisters. Burning and peeling developed after application of furosporin. There is yellowish-reddish discoloration in a zoster distribution which does not disappear on diascopic pressure. It does not show up on the infrared plate.The hematocrit was 40%; white blood cells, 6,400; hemoglobin 74% (11.45 gm.); lymphocytes 30, polymorphonuclear leukocytes 69, eosinophils 1; platelets numbered 201,000; fragility: initial 40%, complete 30%; control: initial 40%, complete 30%; L.E. cells negative, tourniquet test negative.
Discussion
Dr. Neville Kirsch: First I wanted to understand the concept of zosteriform. It is hard to conceive of that possibility in this case. I realize that the lesion does not go past the midline, but does that put