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Table 1 Overview of reported cases of bilateral herpes zoster (BHZ)

From: Bilateral asymmetrical herpes-zoster with Ramsay hunt syndrome in an immunocompetent adult

NO.

Age

(years)

Sex

Dermatomes

Symmetry

Underlying disease

Treatment

Reference (see supplementary materials for details)

1

61

M

R: T2–3

L: C5-T1

Asymmetry

/

VCV oral 1 g/q8h 7 days

1

2

24

F

R: L1–2

L: maxillary dermatome

Asymmetry

/

ACV oral 800 mg × 5/d 10 days

2

3

7

M

R: C4

L: T3–4, L2

Asymmetry

/

ACV oral 800 mg × 5/d 7 days

3

4

16

M

R: trigeminal nerve dermatome

L: T4–7

Asymmetry

/

ACV oral 500 mg × 3/d 7 days

4

5

45

M

R: T9

L: trigeminal nerve dermatome

Asymmetry

/

ACV IV 10 mg/kg × 3/d

5

6

26

M

R: T8

L: T9

Asymmetry

/

ACV 800 mg × 5/d 7 days

6

7

73

F

R: L1–2

L: T9–10

Asymmetry

/

Isoprinosine 1.000 mg × 4/d

7

8

60

M

R: trigeminal nerve dermatome, forearm

L: back

Asymmetry

/

Prednisolone oral 40 mg/d

topical ACV and steroids

8

9

40

F

R: neck and ear

L: neck and shoulder

Asymmetry

/

Quinine, iron and

sulphateof magnesia oral

9

10

28

M

R: T8–9

L: T12, L1–2

Asymmetry

/

ACV oral 800 mg × 5/d 7 days

10

11

14

M

R: forehead

L: L1

Asymmetry

/

ACV IV 1500 mg/m2/dClindamycin IV

11

12

21

M

Trigeminal nerve

dermatome

Symmetry

/

?

12

13

3

M

Face, nose, chin

and ear

Symmetry

/

Triple sulfa and penicillin

12

14

41

F

Neck

Symmetry

/

No treatment

12

15

15

M

T7–9

Symmetry

/

ACV 800 mg × 5/d 7 days

13

16

33

F

Upper sacral areas,

hips, and upper

part of the buttocks

bilaterally

Symmetry

/

?

14

17

24

M

Chest

Symmetry

/

?

15

18

18

M

Face and head

Symmetry

/

?

16

19

54

M

Neck

Symmetry

/

ACV IV 21 days

17

20

23

M

Forehead and

temporal areas

Symmetry

/

?

18

21

55

M

T4

Symmetry

/

ACV 800 mg × 5/d 7 days

10

22

75

M

Trigeminal nerve dermatome

Symmetry

Prostate carcinoma

ACV

19

23

70

M

R: C4, T2

L: L1–2

Asymmetry

CLL

ACV IV 10 mg/kg/8 h

20

24

70

M

R: C4, T4

L: T9–10

Asymmetry

Diabetic, CKD and MM

ACV 375 mg/d 10 days

21

25

39

F

T8

Symmetry

After thoracoscopic

splanchnicectomy

ACV oral 800 mg × 5/d 5 days

22

26

31

M

Eyes

Symmetry

AIDS

ACV oral 800 mg × 5/d

23

27

66

F

R: C4–5

L: facial and the posterior auricular nerves

Asymmetry

Rheumatism and

heart disease

?

24

28

63

M

T11

Symmetry

ESRD

VCV oral 250 mg/d

25

29

54

F

R: T5–7

L: T10

Asymmetry

MM

FCV

26

30

52

F

Face and neck

Symmetry

SLE, TB

?

27

31

21

M

R: T9–10

L: T9

Asymmetry

UC

Antiviral IV

28

32

47

F

L4–5, S1

Symmetry

Renal transplantation

VCV oral 1 g tid 7 daysVCV oral 1 g/d 6 months

29

33

27

M

R: T9

L: T6–8

Asymmetry

Pharyngotonsillitis

Oseltamivir oral

30

34

49

F

T4

Symmetry

Breast cancer

FCV 700 mg/d 7 days

31

35

68

F

R: T8–9

L: C4

Asymmetry

MM

ACV 750 mg/d 6 days

32

36

30

M

T10

Symmetry

AIDS

?

33

37

64

F

R: L4

L: T10

Asymmetry

PAAS and diabetes

ACV 10 mg/kg tid

34

38

67

F

R: L4–5

L: T7–8

Asymmetry

Hypertension

FCV 750 mg/d 7 days

35

39

69

M

R: T5–7,10,12; L3–4

L: T4–6,12; L3–5

Asymmetry

ESRD and SCCs

ACV IV 800 mg/d 7 days

FCV oral 500 mg/d 14 days

36

40

91

F

L2–5

Symmetry

CKD

Antiviral therapy

37

  1. M male; F female; L left; R right; C cervical; T thoracic; L lumbar; S sacral; IV intravenous; ACV aciclovir; FCV famciclovir; CLL chronic lymphocytic leukaemia; CKD chronic kidney disease; ESRD end-stage renal disease; MM multiple myeloma; AIDS acquired immune deficiency syndrome; SLE systemic lupus erythematosus; TB tuberculosis; UC ulcerative colitis; PAAS polymyositis associated antisynthetase syndrome; SCCs multiple squamous cell carcinomas