Involvement of the eye (ophthalmic branch): Heraldic lesions appear on the tip of the nose, due to
infection of the nasociliary nerve. Get immediate ophthalmologic consultation.
Ramsay Hunt syndrome: Due to involvement of the geniculate ganglion with facial paralysis. Lesions
occur over the external auditory canal or tympanic membrane, with or without vertigo, tinnitus,
deafness/hyperacusis, unilateral loss of taste, and decrease in tear formation and salivation.
Zoster in immunocompromised patients: Seen in patients with AIDS and malignancies (especially
lymphocytic leukemia or Hodgkin’s) and those undergoing immunosuppressive therapies. Usually
more severe and often disseminated. Chronic eruptions can be the first sign of HIV infection
infection of the nasociliary nerve. Get immediate ophthalmologic consultation.
Ramsay Hunt syndrome: Due to involvement of the geniculate ganglion with facial paralysis. Lesions
occur over the external auditory canal or tympanic membrane, with or without vertigo, tinnitus,
deafness/hyperacusis, unilateral loss of taste, and decrease in tear formation and salivation.
Zoster in immunocompromised patients: Seen in patients with AIDS and malignancies (especially
lymphocytic leukemia or Hodgkin’s) and those undergoing immunosuppressive therapies. Usually
more severe and often disseminated. Chronic eruptions can be the first sign of HIV infection