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Correspondence |

Atypical Herpes Zoster Infection Preceded by Sciatica and Foot Drop

Angela M. Leo, DO; David A. Kasper, DO, MBA; Aradhna Saxena, MD
Arch Dermatol. 2009;145(8):954-955. doi:10.1001/archdermatol.2009.168.
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Motor neuropathy rarely complicates herpes zoster infection. When a motor neuropathy develops from a herpes zoster infection, it usually follows the skin manifestations and mainly affects the facial musculature. However, we report a case of sciatica and foot drop that presented before the cutaneous eruption.

Eyigor  SDurmaz  BKarapolat  H Monoparesis with complex regional pain syndrome-like symptoms due to brachial plexopathy caused by the varicella zoster virus: a case report. Arch Phys Med Rehabil 2006;87 (12) 1653- 1655
PubMed Link to Article[[XSLOpenURL/10.1016/j.apmr.2006.08.338]]
Yoleri  OOlmez  NOztura  ISengül  IGünaydin  RMemiş  A Segmental zoster paresis of the upper extremity: a case report. Arch Phys Med Rehabil 2005;86 (7) 1492- 1494
PubMed Link to Article[[XSLOpenURL/10.1016/j.apmr.2004.09.032]]
Wendling  DLanglois  SLohse  AToussirot  EMichel  F Herpes zoster sciatica with paresis preceding the skin lesions: three case-reports. Joint Bone Spine 2004;71 (6) 588- 591
PubMed Link to Article[[XSLOpenURL/10.1016/j.jbspin.2003.12.002]]
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Figure 1.

Foot drop. Patient was unable to dorsiflex the right foot and great toe.

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Figure 2.

Histopathologic specimen. Petechial macule of the patient’s right leg (hematoxylin-eosin, original magnification ×40).

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