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Box 14-2

  • Trigeminal shingles may affect:

    • the ophthalmic nerve (causing severe conjunctivitis)
    • the maxillary nerve (causing vesicles on the uvula or tonsils)
    • the mandibular nerve (causing vesicles on the floor of the mouth and on the tongue) (Figure 14-8).
  • Shingles affecting the facial nerve presents with lesions in the external auditory canal (Ramsay Hunt syndrome).
  • Disseminated shingles may present with widespread cutaneous and visceral lesions.
  • In the context of HIV, shingles lesions may be multidermatomal, extensive, and haemorrhagic.