Granulomatous Vasculitis Associated With Herpes Virus: A Persistent, Painful, Postherpetic Papular Eruption John L. Snow, M.B., Ch.B., Rokea A. el-Azhary,

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Presentation transcript:

Granulomatous Vasculitis Associated With Herpes Virus: A Persistent, Painful, Postherpetic Papular Eruption John L. Snow, M.B., Ch.B., Rokea A. el-Azhary, M.D., Ph.D., Lawrence E. Gibson, M.D., Steven A. Estes, M.D., Mark J. Espy, Thomas F. Smith, Ph.D. Mayo Clinic Proceedings Volume 72, Issue 9, Pages 851-853 (September 1997) DOI: 10.4065/72.9.851 Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 (case 1). Persistent, painful, postherpetic papules on right arm of patient at initial assessment. Mayo Clinic Proceedings 1997 72, 851-853DOI: (10.4065/72.9.851) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 (case 3). Persistent, painful papules in zosteriform distribution on left arm. Mayo Clinic Proceedings 1997 72, 851-853DOI: (10.4065/72.9.851) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 (case 1). Biopsy specimen of recurrent lesion. Note poorly defined perivascular granuloma and prominent, multinucleated, foreign body-type giant cell (arrow) intimately associated with intense perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin; ×200.) Mayo Clinic Proceedings 1997 72, 851-853DOI: (10.4065/72.9.851) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 (case 2). Biopsy specimen, showing lymphohistiocytic infiltrate both surrounding and infiltrating wall of small superficial dermal blood vessel. (Hematoxylin-eosin; ×200.) Mayo Clinic Proceedings 1997 72, 851-853DOI: (10.4065/72.9.851) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions