# A Rare Case of Herpes Zoster with C7 Involvement Mimicking Dermatitis: An Elusive Diagnosis

## TL;DR

A rare case of shingles affecting the C7 dermatome was initially misdiagnosed as a skin allergy due to its unusual appearance.

## Contribution

This case highlights the atypical presentation of Herpes Zoster in the C7 dermatome, leading to diagnostic challenges.

## Key findings

- Herpes Zoster presented in the C7 dermatome was misdiagnosed as contact dermatitis or scabies.
- The absence of a typical clustered rash contributed to the diagnostic delay.
- Early diagnosis and vaccination are emphasized to prevent complications.

## Abstract

Herpes Zoster commonly involves thoracic and cranial dermatomal distributions. It is caused by reactivation of the latent varicella-zoster virus (VZV) due to immunosuppression or increasing age. However, uncommon regional presentation for shingles such as the palmar creases, may lead to a misdiagnosis. We report an unusual case of C7 dermatome presentation, prematurely mistaken as contact dermatitis or scabies due to lack of a clustered appearance. Prevention with vaccination is key and so is avoiding delays in diagnosis due to late complications that may arise.