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  Vol. 145 No. 8, August 2009 TABLE OF CONTENTS
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VIGNETTES
Atypical Herpes Zoster Infection Preceded by Sciatica and Foot Drop

Angela M. Leo, DO; David A. Kasper, DO, MBA; Aradhna Saxena, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

Report of a Case

A 79-year-old white woman felt sciatic pain on her right side and paresthesias over her right buttock. Four days later, she developed a right foot drop. Two days after that, right-sided petechiae erupted on her sacrum and along the anterior surface of her right leg and foot, all in the L4/L5 dermatome. Moreover, she was unable to dorsiflex her right foot or great toe (Figure 1). The month before, she had started taking 60 mg/d of prednisone for temporal arteritis. Interestingly, she had 3 prior cases of herpes zoster and 2 . . . [Full Text of this Article]


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