Haemorrhagic Multidermatomal Disparate Herpes Zoster in Immunocompotent Patient

Herpes zoster or shingles, is characterized by a unilateral vesicular eruption with a dermatomal distribution. . The onset of disease is heralded by pain within the dermatomes that precedes the lesions by 48 to 72 hours. more than one contiguous unilateral dermatome, called multidermatomal HZ. Multidermatomal haemorrhagic involvement is rare in immunocompetent patients. we report a 74 iranian immunocompotent male;a rare case of herpes zoster involving right C5-C7,T6,T7,L1,L2 and left T11.Herpes zoster infection was confirmed by polymerase chain reaction analysis. We prescribed ACYCLOVIR 500 MG IV TDS for 7 days. On outpatient follow up two weeks later the patient's clinical status improved and rashes resolved.