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Cutaneous cytomegalovirus infection on multi dermatomal herpes zoster scars: an isotopic immune response
Author(s) -
Katibi O. S.,
Dlova N. C.,
Mosam A.
Publication year - 2015
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/ced.12477
Subject(s) - medicine , immune system , scars , cytomegalovirus , dermatology , human immunodeficiency virus (hiv) , immunology , histology , viral disease , pathology , herpesviridae
Summary As more patients with human immunodeficiency virus ( HIV ) are surviving, despite severe immune suppression, clinicians are faced with atypical manifestations of both common and uncommon dermatoses. A 30‐year‐old black S outh A frican woman presented with a 10‐month history of multiple chronic ulcers appearing on a multidermatomal herpes zoster ( HZ ) scar. The woman was infected with HIV , and her CD 4 count was 45 cells/μL. Histology and PCR revealed cytomegalovirus ( CMV ) infection. This case highlights an unusual presentation of cutaneous CMV occurring as an isotopic immune response on a pre‐existing multidermatomal HZ scar.
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