Herpes zoster is a common dermatological condition which affects up to 20% of the population, most frequently involving the thoracic and facial dermatomes with sacral lesions occurring rarely and only a few reported cases of penile shingles.
Case reportWe report two cases of unusual penile clinical presentations of varicella zoster virus infection in immunocompetent men. The patients presented with grouped clusters of vesicles and erythema on the left side of penile shaft and posterior aspect of the left thigh and buttock, involving S2-S4 dermatomes. The lesions resolved quickly upon administration of oral antiviral therapy.
ConclusionPenile herpes zoster should not be overlooked in patients with unilateral vesicular rash.