. The ranges of motion that are typically abnormal. Herpes zoster ophthalmicus is a reactivated infection of the eye caused by the varicella-zoster virus, the virus that causes chickenpox and shingles . These bumps look different than the. Learn about treatment options from a pain management specialist. Shingles rash can affect your:. Eczema herpeticum; Herpes gingivostomatitis; Herpes keratitis; Herpes labialis (cold sore. All had classical herpes zoster (HZ) but within another 2 to 15 days had developed aberrant vesicles on the trunk, limbs and face. Highly suggested by vesicles at tip of nose (Hutchinson's sign) Nasociliary branch of V1 innervates both the lateral/tip of nose as well as the cornea. Headache. Shingles is a viral infection that leads to pain and. Shingles is caused by varicella-zoster virus (VZV), the same virus that causes chickenpox. Post-herpetic neuralgia (PHN) is a chronic neuropathic pain condition that persists 3 months or more following an outbreak of shingles. Early treatment with prescription antiviral drugs may speed healing and lower your risk of complications. 1 / 4 . Although some people will develop shingles despite vaccination, the vaccine may reduce the. PHN is a complication of shingles characterized by long-term nerve. Herpes zoster only develops in people who have had chickenpox in the past. Appropriate treatment controls acute symptoms and reduces the risk of longer term. They grow bigger and pop open. [1] Herpes zoster ophthalmicus ( HZO ), also known as ophthalmic zoster, is shingles involving the eye or the surrounding area. Nongenital herpes simplex virus type 1 is a common infection usually transmitted during childhood via nonsexual contact. Anyone who has had chickenpox has this virus. Smiles are one-sided, and the eye on the affected side resists closing. Varicella (Chickenpox) Herpes zoster (Shingles) Herpes zoster ophthalmicus. The number of lesions can vary; usually 300 or less but can be more than 2,000 [1]CDC recommends Shingrix (recombinant zoster vaccine, or RZV) for the prevention of herpes zoster (shingles) and related complications. Common presenting symptoms include cutaneous auricular vesicles, severe otalgia, inflammation of the pinna, and occasionally. Shingle Color: Black. Herpes zoster (Shingles) Herpes zoster ophthalmicus; Herpes zoster oticus (Ramsay Hunt syndrome) HHV-6 (Roseola infantum) HHV-8 (Kaposi’s sarcoma) Epstein-Barr virus; Cytomegalovirus; Clinical FeaturesHenoch-schonlein purpura (HSP) Herpangina. If the shingles rash appears around the eye or forehead, it can cause eye infections and temporary or permanent loss of vision. Herpes zoster, or shingles, is caused by reactivation of varicella zoster virus, which causes chickenpox. Timberline Hdz Charcoal Laminated Architectural Roof Shingles (33. The primary VZV infection causes chickenpox, usually in children and. One study suggested U. Otoscopy; Neuro exam focusing on Cranial nerve, crossed findings, upper and lower motor neuron involvement; Management. Many vesicular rashes will improve on their own or with home treatment. Per AAP, ceftazidime 50mg/kg IV (q12hr for babies < 8 days of age, q8hr for >7 days old) is a reasonable alternative to cefotaxime, offering virtually the same coverage for enteric. Pain relief occurs within several hours to days (94% within 48 hours) Target serum concentration is 24-43 μmol/L. We describe a case of dissemin. Shingles is a viral infection that causes a painful, blistering rash. Eczema is a chronic condition with symptoms that come and go, while shingles is caused by a virus. 1. XT25 Timber Blend 3-tab Roof Shingles (32. This reactivation causes shingles, typically characterized by the development of a severe rash. Herpes simplex virus (HSV) Infectious mononucleosis. VZV can reactivate many. This not only increases the patient’s pain, medical expenses, and mental. Molluscum contagiosum. Herpes zoster. Bell's palsy causes most cases of acute, unilateral facial palsy; infection with herpes simplex virus (HSV) type 1 may be its major cause. Background Early intervention reduces the incidence of postherpetic neuralgia (PHN). Inability to raise eyebrow on affected side. people aged 70 to 79. Oculoplastics/Orbit. A stroke occurs when the blood supply to part of the brain is interrupted or reduced, keeping the brain from getting vital oxygen and nutrients. Chickenpox (varicella) is a viral illness caused by the herpes zoster virus (also known as the Varicella-Zoster virus). [1] Two to four days before the rash occurs there may be tingling or local pain in the area. One high-stress area of a residential roof is where its two faces meet, either at a hip or a ridge. An eczema rash. Pastes. Another study found that, among all age groups, overall annual shingles rates ranged from 3. Shingles is characterized by a severely painful, itchy, or tingling rash, most commonly on one side of the torso, although it can occur anywhere on the body. fever. Wicke has yellow eyes and purple hair. tingling, itching, or numbness. Herpes zoster oticus is caused by the spread of the varicella-zoster virus to facial nerves. The product specifically mentions chickenpox rashes. As the name of the condition implies, it can create a winged appearance. Difficulty chewing. Shingles is a rash with shooting pain. It is the same virus that causes chickenpox. Herpes zoster, also known as zoster, or shingles, is caused by the reactivation of varicella-zoster virus (VZV). Herpes zoster, or shingles, is caused by reactivation of varicella zoster virus, which causes chickenpox. If your rash is itchy, the following home remedies may help: Take an oatmeal bath. Chronic allergic conjunctivitis. 97. The branches of the trigeminal nerves are affected in up to 20% of. 1136/bcr-2013-200101. Herpes zoster, also known as shingles, is a painful skin rash caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. Infection by herpes zoster of anterior scalp, forehead, upper lid, nose, eye (first trigeminal dermatome) Activation of dormant virus in trigeminal ganglion. Chickenpox happens when a person is first exposed to the varicella-zoster virus. Shingles is a viral infection that causes a painful, burning skin rash. Acyclovir / administration & dosage*. Steel and zinc fall. Shingles, also known as herpes zoster, is a viral disease characterized by a painful skin rash with blisters in a localized area. Before the rash develops, people often have pain, itching, or tingling in the area where the rash willApril 15, 2019. The symptoms are pain and a rash with blisters. Shingles occurs in people who have had chickenpox and represents a reactivation of the dormant varicella-zoster virus. More than 99% of Americans born before 1980 have had chickenpox, even if they don’t remember it. Varicella zoster virus. Shingles rash on the neck. There are several different factors that affect which immunizations are recommended such as: past immunization history, existing health conditions, lifestyle, age, international travel, and occupation. Rubella (German measles)This is particularly true for herpes zoster ophthalmicus (HZO), a 2016 Academy policy statement said. Drooping of angle of the mouth. Print. Herpes Simplex Virus-2. “There’s usually much more. Sometimes pain, itching, or tingling start a few days before the rash appears. These symptoms feel like: The most telling first symptom of shingles typically is the pain. She wears a pink sweater bearing the symbol of Aether. Ampicillin 75mg/kg IV q6hrs PLUS. Symptoms of shingles include: pain, itching, or tingling, sometimes before the rash appears. It’s possible to have shingles and experience only mild symptoms like tingling or slight itching. Ramsay Hunt syndrome is rare in children and affects both sexes equally. The varicella-zoster virus is a member of the herpesvirus family (herpesvirus type 3). Racial differences in the occurrence of herpes zoster. Shingles is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. The most common early symptoms occur on one part of the body or face. These can include essential oils, cold. HZO occurs typically in older adults but can present at any age and occurs after reactivation of latent. Same burning, pruritic sensation as from other herpes infections. Herpes zoster, commonly known as "shingles," is a viral disease that causes a painful skin rash consisting of small fluid-filled blisters (vesicles) that form scabs and can leave permanent scars. Consider immunocompromise in patients <40yrs. Shingles. The shingles rash develops into painful blisters that may also be itchy, usually on one side of the body, either on. Swabs of unroofed vesicular lesions and scabs from lesions are ideal. On top of the itchiness, shingles can be physically painful, causing pain or burning at the site of the rash, as well as headaches and extreme sensitivity. Erythema and Swelling of auricle. Shingles, also known as herpes zoster, is a disease that results from the reactivation of the varicella-zoster virus (VZV). Varicella zoster virus. The number of lesions can vary; usually 300 or less but can be more than 2,000 [1] Herpes zoster oticus (Ramsay Hunt syndrome) is recognized as a polycranial neuritis caused by the DNA virus Herpes zoster and characterized by damage to sensory and motor nerves, including the audio-vestibular apparatus. Lidocaine 5% is a prescription medication. When a person first contracts VZV, they develop chickenpox, not shingles. Other signs and symptoms that appear a few days after the early symptoms include: An itching, tingling or burning feeling in an area of your skin. Shingles is a disease that causes a painful, blistering rash to form on the body and sometimes the face. Herpes zoster is a common infection caused by the human herpesvirus 3, the same virus that causes varicella (i. [1] This occurs because the nasociliary branch of the. If you've had chickenpox, the virus can lie dormant in your body's nerve tissue for years when suddenly it's triggered by stress or a weakened immune system, and manifests as shingles. This book chapter provides an overview of the epidemiology, clinical features, diagnosis, treatment, and prevention of herpes zoster and its complications. An episode of shingles usually heals on its own within a few weeks. Shingles starts with skin sensitivity, tingling, itching, and/or pain followed. Occurs when VZV is reactivated in the ophthalmic division (V1) of trigeminal nerve 50% of cases associated with ocular involvement Highly suggested by vesicles at tip of nose (Hutchinson's sign) Herpes zoster (Shingles) Herpes zoster ophthalmicus; Herpes zoster oticus (Ramsay Hunt syndrome) HHV-6 (Roseola infantum) HHV-8 (Kaposi’s sarcoma) Epstein-Barr virus; Cytomegalovirus; Clinical Features Differential Diagnosis Herpes Simplex Virus-1. Herpes zoster oticus (Ramsay Hunt syndrome) Category: ID. Find My Store. In the United States, there are around one million cases of HZ per year. Occurs when varicella zoster virus is reactivated in the ophthalmic division (V1) of trigeminal nerve. Shingles, also known as Herpes Zoster, are a contagious viral illness that results in a painful rash. Clinical Findings. Typically, the nerve pain (neuralgia) is confined to an area of skin innervated by a single sensory nerve, which is known as a dermatome. Herpes Simplex Virus-2 (Redirected from HSV-2) Contents. Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia (PHN), the most common complication from shingles. The weakness makes half of the face appear to droop. Use of Recombinant Zoster Vaccine in Immunocompromised Adults Aged ≥19 Years: Recommendations of the Advisory. Temporary or permanent paralysis of one side of the face (similar to Bell palsy. After you have. This virus remains dormant (inactive) in a part of your. DuraRidge Storm Cloud Hip and Ridge Roof Shingles (20-lin ft per Bundle) Model # 724582. Varicella zoster virus. Specifically, research shows that long-term stress increases inflammation and weakens the immune system. Shingles can occur at any age, although it is rare in childhood and becomes more common after age 50. Seasonal allergic conjunctivitis. Redirect page. Even children can get shingles. It’s also recommended for anybody who received a shingles. Herpes zoster is caused by reactivation of latent VZV in cranial-nerve or dorsal-root ganglia, with spread of the virus along the sensory nerve to the dermatome. Erythema infectiosum (Fifth disease) Hand-foot-and-mouth disease. Fluid-filled blisters that break open then scab over. Inflammation (day 1): Swelling and redness. Oral acyclovir (400mg 5x daily) or valacyclovir (500mg 3x daily) may be used alone or. rash or blisters in the mouth. Ocular manifestations commonly are seen in HIV patients, and the first description of the same was made by Maclean more than 20 years ago. Shingles is caused by the VZV virus. Shingles . These look like chickenpox. Bell's palsy is a condition that causes sudden weakness in the muscles on one side of the face. Shingles is relatively rare in children. Press on lesions to see whether they blanch. Feels very sensitive to the touch. Varicella zoster virus (VZV) reactivation (Ramsay Hunt syndrome) is less common, but may appear without skin lesions in a form indistinguishable from Bell's palsy. (Shingles) Herpes zoster ophthalmicus; Herpes zoster oticus (Ramsay Hunt syndrome) HHV-6 (Roseola. Inflammation (day 1): Swelling and redness. There may also be eye pain and redness, inflammation of the conjunctiva, cornea or uvea, and sensitivity to light. Then a hard crust. Moisturize your skin with a. HSV-1 encephalitis is a devastating disease with significant. Stress can really sap your energy. This is the same virus that causes chickenpox. The pain varies by person but can be constant or come and. (Shingles) Herpes zoster ophthalmicus; Herpes zoster oticus (Ramsay Hunt syndrome) HHV-6 (Roseola infantum). Primary HSV-1 infection of lips, gingiva, and tongue. Shingles, also known as herpes zoster, is an infection of a nerve and the skin around it. This discomfort typically occurs a few days before the visible rash develops. Find My Store. This means that you may not feel symptoms, but. After a person has had chickenpox, the virus continues to reside in the body, causing no symptoms. Some people with postherpetic neuralgia might need medicines that contain tramadol (Conzip, Qdolo, others), oxycodone (Percocet, Oxycet, others) or morphine. Eventually, as the patient's natural. There are more than 1 million. The most common side effects of the shingles vaccine are redness, pain, and/or swelling at the site of injection. For more information on varicella (chickenpox), please see the MotherToBaby fact sheet:. The biggest difference between genital herpes and shingles is that the conditions are caused by different viruses. 33-sq ft per Bundle) Shop the Collection. Donate. Doctors diagnose herpes zoster ophthalmicus. Shingles symptoms. Herpes Zoster (Shingles) This information explains herpes zoster (shingles), including how it’s spread and treated. The virus remains in the ganglia in an inactive (dormant or latent) state. Genital/Mucocutaneous HSV. The CDC recommends that all healthy adults ages 50 and older get two doses of the shingles vaccine, separated by two to six months. Shingles - WikEM. Standard Western medical care is antivirals in the acyclovir family and for the subsequent neuralgia, Neurontin (gabapentin). Daily or every-other-day dosing for months or years is not uncommon. The initial symptoms may include malaise, generalized headache, and photophobia. It can sometimes lead. ↑ Howes DS et al. The weakness makes half of the face appear to droop. There are a total of 30 dermatomes in the body that individually service parts. Background. PMC4208116. Herpes simplex virus type 1 (HSV-1) encephalitis is the most common cause of sporadic fatal encephalitis worldwide. Flu-like symptoms may occur during this stage and can include the following: Fever and chills. Contagious for 9 days after onset of parotid swelling. This can lead to tingling sensations and localized pain. chills. Sometimes people feel a little bit tired, with. for pricing and availability. Blister outbreaks may be rare or happen when you're stressed or immune-compromised. In case of recurrence, increase the steroids and lengthen the taper. Owens Corning. Some people with postherpetic neuralgia might need medicines that contain tramadol (Conzip, Qdolo, others), oxycodone (Percocet, Oxycet, others) or morphine. Herpes zoster ophthalmicus, most commonly known as shingles, can be accompanied by short-term or more serious, long-term complications. After you have chickenpox, the virus stays in your body. The rash may instead involve the face, eyes, mouth, and ears. And you may feel a sore arm for a few days, potentially with redness where you got the shot. Shingles is caused by the varicella-zoster virus — the same virus that causes chickenpox. The current vaccine, administered in two parts, is worth getting in my opinion. Shingles is caused when the chickenpox virus is reactivated. It may remain dormant (not active) and you will not have any symptoms. More than 99% of Americans born before 1980 have had chickenpox, even if they don’t remember it. Postherpetic neuralgia (PHN) is neuropathic pain that occurs due to damage to a peripheral nerve caused by the reactivation of the varicella zoster virus ( herpes zoster, also known as shingles). Postherpetic Neuralgia. Images provided by University of Iowa Dept. Herpes zoster (shingles) is caused by the herpes zoster virus and is characterized by pain and unilateral vesicular rash that typically affects one dermatome. It is not contagious, but the virus that causes chickenpox, then later shingles, can pass from person to person. You will always have the virus inside your body. If the shingles virus attacks the ear, people may develop. Shingles, also known as herpes zoster or just zoster, occurs when a virus in nerve cells becomes active again later in life and causes a skin rash. Valtrex doesn’t cure shingles, but it. Drooping eyelid (ptosis) Hearing loss. Treatment. Shingles (Herpes Zoster) vs. Treatment. This topic will review treatment and prevention of primary and recurrent HSV-1 infections in immunocompetent. Wicke is a character appearing in Pokémon Sun and Pokémon Moon. A virus causes shingles. The usual acyclovir dose for shingles is 800 mg by mouth 5 times a day for 7 to 10 days. Generally, anisocoria is caused by impaired dilation (a sympathetic response) or impaired constriction (a parasympathetic response) of pupils. Background. Shingle Type: 3-tab. Vaccine 2003;21:2541-2547. Shingles is caused by the herpes zoster virus—the same virus that causes chickenpox. Protect your patients with new shingles vaccine (CDC fact sheet) Recommendations of the Advisory Committee on Immunization Practices for Use of Herpes Zoster Vaccines | MMWR. This means they numb your nerves in a specific area of your body. When it involves the region that surrounds your eye, it is called herpes zoster ophthalmicus and can cause serious eye problems including corneal. Vesicular bullae. multiple painful lesions; no buboes (occasionally shoddy lymphadenopathy) more common in Black patientsPulsatile tinnitus requires both a functional organ of hearing and a genuine, physical source of sound, which can, under certain conditions, even be objectified by an examiner. While hives and shingles both appear as rashes, the similarities stop there. Typically, the peak pain of shingles is felt within 4 or 5 days after the first symptoms develop, and it comes along with a blistering rash. Aveeno Anti-Itch Concentrated Lotion contains a combination of calamine and oatmeal. Individuals who are severely immunocompromised due to immunosuppressive conditions. The shingles vaccine Zostavax is no longer sold in the U. SHINGLES OVERVIEW. VALTREX is indicated for the treatment of herpes zoster (shingles) in immunocompetent adults. It is a member of the same family (Herpesviridae) as herpes simplex. After you recover from chickenpox, the virus moves to nerves inside your body, where it goes to sleep. 3% in people 70 or older 2. It is caused by the varicella-zoster virus (VZV). Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. 1 – 3 HZ, also known as shingles, is a distinctive clinical condition caused by the reactivation of varicella zoster virus (VZV), which starts residing latently in the body after. HIV neurologic complications. However, the rash can occur around one eye, or on the neck or face. While red and itchy like some other rashes, the shingles rash is otherwise very distinct. Caused by varicella zoster virus (VZV; also known as Human Herpes Virus 3) causing Varicella (chicken pox) and later zoster (shingles) Virus is dormant in dorsal root ganglion and reactivates causing characteristic vesiculopapular rash in dermatomal distribution. Some other key differences. Picture of Shingles. The varicella-zoster virus, which causes chickenpox, can lie dormant in the nerve cells until years. Summary. However, you may experience side effects from the first dose and have no symptoms after the second. Increase by 100-200mg every 3 days. PMID: 33420613. Other effects include: Many people who get the vaccine have muscle aches, headaches, or feel tired. About WikEM; Disclaimers; This page was last edited 13:02, 30 September 2014 by Ross Donaldson. Most people who develop shingles only have it one time during their life. Eye Algorithms. But even a. Other diseases should be considered in the differential diagnosis, including giant cell arteritis. More serious side effects after a shingles shot, like an. The rash is usually painful, itchy, or tingly. , chickenpox). Yes: although it's uncommon, you can get shingles multiple times. Shingrix is also recommended for adults 19 years and older who have weakened immune systems because of disease or therapy. Protecting these areas helps reduce the risk of leaks. It's recommended for people at higher risk from shingles, including all adults turning 65, those aged 70 to 79 and those aged 50 and over with a severely weakened immune system. The clinical syndrome is often characterized by the rapid onset of fever, headache, seizures, focal neurologic signs, and impaired consciousness []. Opioids are very strong pain medicines that a health care provider can prescribe. Headache. Crusting (day 5–8): A honey/golden crust starts to. ↑ Somand D, Meurer W. They monitor the effectiveness and impact of the vaccination campaign. This is very rare and usually occurs in people with weakened immune systems. Henoch-schonlein purpura (HSP) Herpangina. Herpes zoster is caused by the varicella-zoster virus (VZV), which after initial infection, remains latent in posterior root ganglia of the human spinal cord and can be reactivated in the presence of multiple factors, such as advanced age, physical trauma, psychological stress, cancer, radiotherapy, or states of immunosuppression []. A shingles vaccine is available on the NHS for: people who turned 65 on or after 1 September 2023. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. In 2 to 3 days, you may see fluid-filled blisters. There are more than 1 million. This is the same virus that causes chickenpox. While you have shingles blisters, you can spread the virus to others. Contents. Older adults and people with weakened or suppressed immune systems are more likely to need to go to the hospital. There's no cure for shingles. After the blisters have scabbed over, calm itchy skin by applying calamine lotion. Polymerase chain reaction (PCR) can detect VZV DNA rapidly and sensitively. " The most common way to get chickenpox is "by touching or breathing in the virus particles that come from chickenpox. In most cases, the weakness is temporary and significantly improves over weeks. The virus can reactivate later in life and cause shingles. Learn more about shingles and ways you can protect yourself. Once you have had chickenpox, varicella-zoster virus. Try setting a firm bedtime, or doing something relaxing before going to sleep. If your shingles rash has not yet scabbed over, you may need to avoid activities that put you in contact with others. Herpes zoster, also known as shingles, results from reactivation of this latent VZV. [1] The shingles vaccine reduces the risk of shingles. Shingles is somewhat more common among females than males. Meningitis. Find My Store. Clinical Features. 1 Background. The virus remains in the ganglia in an inactive (dormant or latent) state. Eleven case of disseminated herpes zoster (DHZ) who were hospitalised in the Dermatovenereology ward from January 1992 to April 1995 were selected for this study. Wood shingle. Inverted eyelid showing mild conjunctival injection and moderate chemosis. Bacterial Conjunctivitis. 3 Muscle Cramps (Off-label) 2. Common side effects of the shingles vaccine ( Shingrix ) are mild pain and redness at the injection site. Herpes simplex virus (HSV) Infectious mononucleosis. Varicella is commonly known as chickenpox; it occurs in children while herpes zoster occurs in. Introduction. Reactivation of the virus usually occurs in a single nerve, leading to the symptoms of. Herpes zoster oticus (Ramsay Hunt syndrome) Category: ID. Herpes zoster (Shingles) Herpes zoster ophthalmicus; Herpes zoster oticus (Ramsay Hunt syndrome) HHV-6 (Roseola infantum) HHV-8 (Kaposi’s sarcoma) Epstein-Barr virus; Cytomegalovirus; Clinical Features Differential Diagnosis Herpes Simplex Virus-1. Ramsay Hunt syndrome type 2. headache. Among immunocompetent adults 50 years and older, the efficacy of two doses of Shingrix for the prevention of herpes zoster (shingles) was high among all age groups. Duration of shingles and shingles pain. During the blistering phase, you are contagious and can spread chickenpox if someone touches your blisters. Disseminated zoster most commonly affects immunocompromised patients and only rarely the immunocompetent population. Shingles is a painful red rash with blisters that break open and then scab over. Continued for three days after clearing of corneal lesions. It typically looks like a single stripe of blisters that wraps around the left side or the right side of your torso. Internal shingles, also known as zoster sine herpete (ZSH), is a reactivation of the varicella virus without a rash. Symptoms improve in nearly all patients. Herpes zoster, commonly known as "shingles," is a viral disease that causes a painful skin rash consisting of small fluid-filled blisters (vesicles) that form scabs and can leave permanent scars. Shingles is caused by the varicella-zoster virus — the same virus that causes chickenpox. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis (AE) is a common cause of nonviral infectious encephalitis, which can be triggered by herpes simplex virus infection. If you get shingles after being vaccinated, the symptoms can be much milder. Redness on your skin in the affected area. It can re-emerge years or. Herpetic whitlow with erythema and vesicles. Shingles is a painful viral infection that can affect anyone who has had chickenpox. Immunizations: Shingles (Herpes Zoster) Shingles is an infection caused by the varicella-zoster virus. Side effects from the shingles vaccine can include pain and redness at the injection site, as well as muscle pain, headache, nausea, stomach pain, shivering, fatigue, and fever. The varicella-zoster virus causes it. Herpes gingivostomatitis of mouth. mumps ), but should consider influenza [1]; less commonly by parainfluenza, coxsackie, echo, HIV. About half (500,000) of shingles cases occur in people age 60 or older. This case report describes the 75-year-old author's herpes zoster ophthalmicus (HZO) accompanied by.