Skill Checkup: A 58-Year-Old Vaccinated Man With a Painful, Itchy Rash on His Face and Trunk

Heidi Moawad, MD


May 08, 2023

The Skill Checkup series provides a quick, case-style interactive quiz, highlighting key guideline- and evidence-based information to inform clinical practice.

A 58-year-old man who lives in Ottawa presents at the office with a painful, itchy rash on his face and trunk. He is diagnosed with active herpes zoster (HZ) and will be assessed and managed for HZ today. During a discussion about HZ vaccinations, the patient confirms that he was vaccinated 8 years ago, when he turned 50 years. His medical record shows vaccination at that time with live zoster vaccine (LZV).

The patient is 1.83 m (6 ft) tall and weighs 92.08 kg (203 lb). His vitals in clinic are a temperature of 36.9°C (98.5°F), pulse rate of 48 beats/min, respiratory rate of 20 breaths/min and blood pressure of 119/79 mmHg.


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