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Revista Portuguesa de Medicina Geral e Familiar
Print version ISSN 2182-5173
Abstract
TEIXEIRA, Diana Damas; PEIXOTO, Pedro and RODRIGUES, Sandra. Hutchinson’s sign: a clinical clue for the diagnosis of herpes zoster ophthalmicus. Rev Port Med Geral Fam [online]. 2023, vol.39, n.3, pp.239-242. Epub June 30, 2023. ISSN 2182-5173. https://doi.org/10.32385/rpmgf.v39i3.13573.
Introduction:
Herpes zoster results from the reactivation of varicella-zoster virus (VZV) after primary infection (varicella). Herpes zoster ophthalmicus occurs when there is reactivation of VZV involving the ophthalmic branch of the trigeminal nerve and it results in a higher risk of long-term sequelae.
Case report:
This case presents a 74-year-old man with herpes zoster ophthalmicus who had a vesicular rash involving the tip of the nose - Hutchinson’s sign. This sign is a strong predictor of ocular complications due to the involvement of the nasociliary nerve.
Comments:
This case report highlights the need for a complete physical examination, including urgent ophthalmic evaluation when suspicious of herpes zoster ophthalmicus.
Keywords : Herpes zoster; Herpes zoster ophthalmicus; Hutchinson’s sign.
