Herpes simplex virus (HSV) occasionally can mimic varicella zoster virus. Termed zosteriform herpes simplex, it is difficult to differentiate clinically from ophthalmic zoster.1,2 A differential diagnosis is especially important when accompanying ocular symptoms are present because incorrect treatment may aggravate the disease.1 We report a case of recurrent zosteriform herpes simplex in which DNA specific for HSV was detected by the polymerase chain reaction (PCR) method from the tears of a patient with herpetic conjunctivitis who had ophthalmic zoster diagnosed by a dermatologist.
Report of a Case.
A 22-year-old woman with the diagnosis of ophthalmic zoster was referred to our clinic. The patient complained of a foreign-body sensation in her left eye. She had a history of atopic dermatitis, but she denied a history of HSV and ophthalmic zoster. She had not had any pain or other neurosensory problems before the advent of the eruptions. The vesicles were
Yamamoto S, Shimomura Y, Kinoshita S, Tano Y. Differentiating Zosteriform Herpes Simplex From Ophthalmic Zoster. Arch Ophthalmol. 1994;112(12):1515–1516. doi:10.1001/archopht.1994.01090240021012
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