GENERALIZED HERPES ZOSTER

Abstract
Herpes zoster is occasionally accompanied by a generalized vesicular eruption, clinically similar to varicella. Some writers believe that herpes zoster and varicella may be caused by different strains of the same virus and that the generalized eruption indicates an infection by both. Others feel that the syndrome is merely a fortuitous concurrence of the two diseases. A third theory, which is based on clinical and experimental observations and seems more probable, is that the generalized eruption is an extension of the zoster itself. A possible intermediate stage between localized and generalized herpes zoster consists of the appearance of isolated aberrant vesicles, irregularly distributed over the body. These were first reported by Tenneson,1who thought they could be found in 9 out of 10 cases of herpes zoster, although other observers consider his estimate too high. The similarity of these lesions to those of varicella and certain observations as to

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