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Vulvar zoster

Published:August 23, 2017DOI:https://doi.org/10.1016/j.ajog.2017.08.011
      A 64 year old female with pudendal neuralgia and no prior history of herpes zoster presented with 4 days of severe right-sided vulvar pain. Eleven days before, she underwent a bilateral transvaginal pudendal nerve block, which she had tolerated previously. At that time, there were no visible vulvar lesions. Upon presentation, her examination revealed a tender erythematous macular rash containing scattered 1-2 mm gray erosions on her right labium majus and minus, extending along the S3 dermatome to her medial thigh (Figures 1 and 2).
      Figure thumbnail gr1
      Figure 1Unilateral vulvar lesions
      English et al. Vulvar Zoster. Am J Obstet Gynecol 2018.
      Figure thumbnail gr2
      Figure 2Herpes zoster
      English et al. Vulvar Zoster. Am J Obstet Gynecol 2018.
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