73 years old, female patient. She has diabetes and high blood pressure.There are 15 days the lesions (pictures) emerged on the internal area of the right thigh and it spread to the lower area and sacral area. What’s the probable diagnosis?

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? Herpes Zoster

Herpes zoster

Herpes zoster Acyclovir 800 mg 5times a day. PCM ibu TDS. Multivitamins and antioxidants orally. Clean area with diluted betadine lotion apply acyclovir gel locally bd. Xylocaine jelly locally HS. Control DM and BP with medicine,diet control and exercise. Keep area clean and covered with sterile gauge.

Thanks Dr kute Ankush
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SUGGESTIVE. OF HERPES ZOSTER

? HERPES ZOSTER..

Tnx Dr Ashok Leel sir
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Clinical provisional diagnosis: Herpes zoster presenting as unilateral vasculitis. Varicella-Zoster infection can present with uncharacteristic clinical manifestations complicating the diagnosis as in the present case. Skin biopsy will reveal many interesting findings in this case. REF: Herpes zoster presenting as unilateral vasculitis https://www.ncbi.nlm.nih.gov/m/pubmed/30695979/ Regards to Dr Ram

Herpes zoster Tab Acyclovir 800mg TID Tab.PCM 500MG TID Tab.Meganeurin PG Od at bed time Clean the affected area locally apply Acyclovir cream Control diet &BP and Blood suger

HZ with vasculitis

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