Herpes Zoster Dermatitis Of Eyelid Differential Diagnosis Table

Herpes Zoster Dermatitis Of Eyelid Differential Diagnosis Table:

Shingles is a painful red rash that forms blisters that break easily and scab over. It is caused by the herpes zoster virus. Although the majority of the population has had contact with this virus, it is not very common for it to present in this way since the virus remains inactive in our body until our immune system is compromised. In any case, if for some reason the virus is activated, this presentation is one of the least common, although statistically, it is occurring more frequently.
This virus is spread by physical contact; the person carries these virus particles to the eyes by scratching or touching the face, for example. The virus in this way settles in the nervous areas of the eye, appearing when the immune system is weakened by different causes such as fever due to some infectious process, stress, diseases, etc. This virus can affect anyone.
The symptoms are small blisters or herpetic lesions in the eye suddenly without having any type of trauma or injury, can be dispersed at different points on the forehead, or can also occur together in the form of a rash. It also shows up as blepharitis, itching, eye redness, photophobia, and blurred vision.

How to Distinguish Herpes Zoster Dermatitis of Eyelid from Other Diseases

Distinguish Herpes Zoster Dermatitis of Eyelid from Corneal Ulcer – Diagnosis

• Corneal Ulcer is an open wound of the cornea, whereas Herpes Zoster Dermatitis of the eyelid is a rash-like lesion forming blisters that later evolve into crusts around the eyelid or the trigeminal nerve dermatome.
• Corneal Ulcer, unlike Herpes Zoster Dermatitis of the eyelid, can be caused by a bacterial, fungal, or parasitic infection as well as traumatic injuries.
• Corneal Ulcer, unlike Herpes Zoster Dermatitis of the eyelid, presents a white patch on the cornea and suppuration.
• During Herpes Zoster Dermatitis of the eyelid diagnosis through a slit lamp, unlike Corneal Ulcer, dendrites can be observed that are related to nerve cells infected with the virus.

Distinguish Herpes Zoster Dermatitis of Eyelid from Molluscum Contagiosum – Diagnosis

• Molluscum Contagiosum is a viral pathology that produces lesions in the form of papules or nodules that have a central umbilication that occurs singly or in multiples of normal skin color, while Herpes Zoster Dermatitis of the eyelid is a rash-like lesion forming blisters that later evolve into crusts around the eyelid.
• Molluscum Contagiosum, unlike Herpes Zoster Dermatitis of the eyelid, is more common in children.

Distinguish Herpes Zoster Dermatitis of Eyelid from Contact Dermatitis – Diagnosis

• Contact Dermatitis, as opposed to Herpes Zoster Dermatitis of the eyelid, is an inflammatory skin reaction that presents itching, swelling, and tenderness with different lesions of any kind ranging from papules to crusts.
• Herpes Zoster Dermatitis of the eyelid respects the dermatome of the trigeminal nerve while Contact Dermatitis does not and usually appears in regions of the palms or interdigital spaces.
• Herpes Zoster Dermatitis of the eyelid is caused by a virus while Contact Dermatitis is a reaction to a toxic substance on the skin.

Distinguish Herpes Zoster Dermatitis of Eyelid from Eczema – Diagnosis

• Eczema consists of red itchy scaly plaques over dry skin while Herpes Zoster Dermatitis of the eyelid is an inflammatory skin reaction that presents itching, swelling, and tenderness with different lesions of any kind ranging from papules to crusts.
• Eczema, unlike Herpes Zoster Dermatitis of the eyelid, is not caused by viruses.
• Herpes Zoster Dermatitis of the eyelid respects the dermatome of the trigeminal nerve while Eczema appears mostly in folded areas.
• Eczema, unlike Herpes Zoster Dermatitis of the eyelid, is not painful.

Distinguish Herpes Zoster Dermatitis of Eyelid from Impetigo – Diagnosis

• Impetigo is caused by bacteria while Herpes Zoster Dermatitis of the eyelid is caused by a virus.
• Impetigo produces oozing blisters that dry to form yellow or honey-colored crusts while Herpes Zoster Dermatitis of the eyelid is an inflammatory skin reaction that presents itching, swelling, and tenderness with different lesions of any kind ranging from papules to crusts.

Common Red Flags with Herpes Zoster Dermatitis Of Eyelid

The most serious complication of Herpes Zoster Dermatitis of Eyelid is keratitis or uveitis. This condition can be prevented by administering the vaccine to compromised patients .