Jean, 63 years old, Facial rash

It is indeed shingles.

Let’s rule out differential diagnoses:

• Acute, sudden and rapidly spreading: not suggestive of a cutaneous tumoural disease.
• No tumoural appearance
• Vesicular primary lesion
• Inflammatory background
• Meliceric crusts
• Metameric pattern +++: key factor in the diagnosis (≠ acute impetiginised eczema)
• No oedema and diffuse pronounced erythema, no increase in local skin temperature, no fever: no arguments in favour of erysipelas BUT possible progression if secondary infection is not treated.

It was shingles.

Let’s rule out differential diagnoses:

• Acute, sudden and rapidly spreading: not suggestive of a cutaneous tumoural disease.
• No tumoural appearance
• Vesicular primary lesion
• Inflammatory background
• Meliceric crusts
• Metameric pattern +++: key factor in the diagnosis (≠ acute impetiginised eczema)
• No oedema and diffuse pronounced erythema, no increase in local skin temperature, no fever: no arguments in favour of erysipelas BUT possible progression if secondary infection is not treated.

It was shingles.

Let’s rule out differential diagnoses:

• Acute, sudden and rapidly spreading: not suggestive of a cutaneous tumoural disease.
• No tumoural appearance
• Vesicular primary lesion
• Inflammatory background
• Meliceric crusts
• Metameric pattern +++: key factor in the diagnosis (≠ acute impetiginised eczema)
• No oedema and diffuse pronounced erythema, no increase in local skin temperature, no fever: no arguments in favour of erysipelas BUT possible progression if secondary infection is not treated.

It was shingles.

Let’s rule out differential diagnoses:

• Acute, sudden and rapidly spreading: not suggestive of a cutaneous tumoural disease.
• No tumoural appearance
• Vesicular primary lesion
• Inflammatory background
• Meliceric crusts
• Metameric pattern +++: key factor in the diagnosis (≠ acute impetiginised eczema)
• No oedema and diffuse pronounced erythema, no increase in local skin temperature, no fever: no arguments in favour of erysipelas BUT possible progression if secondary infection is not treated.