A Puzzling Facial Rash & Pain

A patient presents with a painful, one-sided Facial Rash, ear pain, and tongue plaques. Explore the differential for a dermatomal vesicular eruption.

Varicella-zoster virus


What is the most likely cause of this patient’s presentation with rash and pain on the left side of his face, and plaque over the anterior two-thirds of his tongue?

What is the most likely diagnosis?

Herpes simplex virus
Enterovirus
Contact dermatitis
Bullous pemphigoid
Varicella-zoster virus

Dermatomal rash, Herpes zoster, Shingles, Trigeminal nerve, Varicella-zoster virus

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