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Concurrent Post-Zoster Cutaneous Vasculitis and Acute Calcium Pyrophosphate Deposition Disease (CPPD) in an Elderly Patient: A Case Report

Year: 2024

Type: article

Abstract: Varicella-zoster virus (VZV) can lead to rare complications such as cutaneous vasculitis. We present a unique case of post-zoster cutaneous vasculitis in an 82-year-old male, occurring alongside acute calcium pyrophosphate deposition disease (CPPD), a previously undocumented association. The patient initially presented with a painful zoster rash and hand swelling, treated with oral acyclovir. Persistent swelling led to a diagnosis of CPPD in the wrist, managed with prednisone and colchicine. A biopsy of purplish discoloration at the zoster site confirmed vasculitis, which resolved after treatment. This case underscores the importance of recognizing post-zoster vasculitis, even in immunocompetent individuals, and suggests a potential link with CPPD that warrants further investigation.

Source: Cureus

DOI: 10.7759/cureus.71614

Authors: Marwa Hallal, Zeina Tannous

Institutions: Lebanese American University, Harvard University, University Medical Center Rizk Hospital, Massachusetts General Hospital

Language: English

Topic: Herpesvirus Infections and Treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403462745

FWCI:

Cites: 15

Cited by:

Related to: 10