PMC6804869_01
Timeline of patient presentation and hospital course.
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The patient's full clinical course is summarized in Fig. 1.
(clockwise). Lateral view of patient's facial lesions includes severe crusting and oozing in a clearly demarcated dermatomal distribution along the right CN V distribution with associated right facial edema. Right oral mucosal involvement with multiple ulcerated vesicular lesions along the right hard palate not crossing the midline and without associated edema. Patient had bilaterally mobile vocal cords on scope view of oropharynx. Also, with right upper and lower lip edema with crusting and associated trismus secondary to pain. Inner ear evaluation by ENT revealed intact tympanic membrane on the right without obstructive or vesicular lesions. Four vesicular lesions involving the T10 - T11 dermatomes on the right lower anterior abdomen.
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A sharply demarcated vesicular rash was noted in the right trigeminal cranial nerve dermatome, with overlying crusting, erythema, and exudate (Fig. 2).