A 33-year-old male presents with a unilateral maculopapular/vesicular rash in a single dermatomal distribution, specifically in the ophthalmic division (V1) of the trigeminal cranial nerve (V). Hutchinson's sign, characterized by painful vesicles or bumps at or near the tip of the nose, serves as an early indicator of ophthalmic (eye) shingles. This sign suggests the involvement of the nasociliary nerve branch of the trigeminal nerve, which innervates the cornea, lateral dorsum, and tip of the nose.
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Dr. Nilesh Gandhi
ENT Specialist
· Ahmadabad
It clearly looks viral infection involving rt side inner canthus of eye and