Question presents an immunosuppressed patient with rash over the lower back which is pruritic. Vesicles (small fluid filled blisters) are present with ulcerated/crusted lesions also found in that area. This is varicella zoster infection: multiple crops of lesions in various stages from vesicles to crusts.
This Q stem was confusing to me because I thought pain>>itch for shingles. Any thoughts?
submitted by โdivya(75)
look at the image
Immunosuppression causes reactivation of VZV.