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May 1985

A Case of Herpes Zoster Involving a Skin Graft

Author Affiliations

Department of Dermatology and Cutaneous Surgery University of Miami School of Medicine PO Box 016960 (D4-8) Miami, FL 33101; Family Medicine Florida Hospital 39-9 Roclair St Orlando, FL 32804

Arch Dermatol. 1985;121(5):588-589. doi:10.1001/archderm.1985.01660050036006

To the Editor.—  A careful search of the literature indicates that this appears to be the second reported case of herpes zoster involving a skin graft.1

Report of a Case.—  In May 1982, a 66-year-old woman came to the emergency department of Jackson Memorial Hospital, Miami, with complaints of a painful, pruritic eruption on the left side of the forehead for the preceding 10 to 14 days. The lesions were accompanied by tearing and redness of the left eye, without ocular pain or visual disturbance.Two years earlier, in Cuba, the patient had undergone excision of virtually the entire skin of the forehead with replacement by a free skin graft (split thickness) taken from the lower abdomen. This procedure was ostensibly carried out as definitive treatment for recurrent precancerous lesions, presumably actinic keratoses. The patient reported that the graft has healed quickly, with gradual restoration of sensation.An examination

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