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Isolated double herpes zoster paresis involving the left facial nerve and the right peroneal nerve following disseminated herpes zoster.

Takahama H, Tsukahara N, Hirayama M, Ito S, Sakuramoto C

Department of Dermatology, Machida Municipal Hospital, Machida, Tokyo, Japan. hdt2taka@rose.ocn.ne.jp

A 72-year-old Japanese male developed disseminated herpes zoster and could not easily walk due to right drop foot and pain. He soon developed numbness and pain on the left side of his face, and noticed difficulty closing his left eye. The left angle of his mouth dropped. The patient was diagnosed as having a double mononeuropathy (a left facial nerve paresis and a right peroneal nerve paresis) following disseminated herpes zoster. Given that the patient was elderly and had diabetes mellitus, the patient appeared to be an immunocompromised host. We also describe other rare complications of herpes zoster from the published work.

Published 5 April 2007 in J Dermatol, 34(5): 349-52.
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