What is the diagnosis and treatment for a 6-year-old female presenting with a vesicular rash on one side of her face under the eye?

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Herpes Zoster Ophthalmicus (Shingles)

This 6-year-old has herpes zoster ophthalmicus (HZO) until proven otherwise, and requires immediate systemic antiviral therapy with oral acyclovir 800 mg five times daily for 7 days (or valacyclovir 1000 mg three times daily for 7 days) plus urgent ophthalmology referral within 24 hours to prevent vision-threatening complications. 1, 2

Diagnosis

The unilateral vesicular rash in a dermatomal distribution on one side of the face under the eye is pathognomonic for varicella-zoster virus (VZV) reactivation. 1, 3

Key diagnostic features to confirm:

  • Vesicular dermatomal rash with unilateral distribution—this is the hallmark finding 1
  • Pain or severe discomfort often precedes the rash by 24-72 hours, though children may have less pain than adults 3
  • Bulbar conjunctival injection with watery discharge if ocular involvement is present 1
  • Palpable preauricular lymph node on the affected side 1

While HZO is uncommon in healthy children, it does occur even in immunocompetent 6-year-olds, particularly after early varicella exposure (in utero, vaccination, or early childhood infection). 4, 5, 6

Immediate Treatment Protocol

Systemic antiviral therapy must be started immediately—do not wait for laboratory confirmation: 2

  • Valacyclovir 1000 mg three times daily for 7 days (preferred due to superior bioavailability and simpler dosing) 2
  • Alternative: Acyclovir 800 mg five times daily for 7 days 2, 5
  • Alternative: Famciclovir 500 mg three times daily for 7 days 2

Topical management of eyelid vesicles:

  • Apply topical antibiotic ointment (such as bacitracin or erythromycin) to eyelid vesicles to prevent secondary bacterial infection, which can cause necrosis, scarring, and cicatricial ectropion 2
  • Cold compresses for symptomatic relief 2
  • Oral analgesics for pain management 2

Critical: Urgent Ophthalmology Referral

This child requires ophthalmology evaluation within 24 hours because periocular VZV carries significant risk of vision-threatening complications. 2

Examine for these red flags requiring immediate ophthalmology consultation:

  • Conjunctival injection beyond simple eyelid involvement 1, 2
  • Vesicles at the limbus (junction of cornea and sclera) 1
  • Any visual symptoms, eye pain, or photophobia 7
  • Hutchinson's sign (vesicles on the tip of the nose, indicating nasociliary nerve involvement and higher risk of ocular complications) 8

Potential vision-threatening sequelae include:

  • Punctate or pseudodendritic keratitis 1
  • Stromal keratitis with corneal scarring 1, 2
  • Uveitis 1, 2
  • Corneal anesthesia leading to neurotrophic keratopathy 1
  • Retinitis 1, 2

What NOT to Do

Never use topical corticosteroids alone for VZV eyelid lesions—they potentiate viral replication and worsen disease. 2

Do not use topical antivirals alone—they are inadequate for preventing systemic and ocular complications. 7, 2

Do not delay treatment waiting for PCR confirmation—treat based on clinical diagnosis as delaying treatment significantly reduces efficacy. 7

Follow-Up and Monitoring

Schedule follow-up within 1 week to assess treatment response and monitor for complications: 2

  • Visual acuity measurement 2
  • Slit-lamp examination to detect early corneal involvement 2
  • Assessment for post-herpetic neuralgia (less common in children but possible) 8

Re-evaluate immediately if:

  • Symptoms worsen at any time 2
  • New ocular symptoms develop 2
  • Symptoms persist beyond 2-3 weeks 2

Immunocompromised Considerations

While this child is described as otherwise healthy, screen for underlying immunodeficiency if HZO occurs in a child this young, as reactivation is uncommon in immunocompetent children: 3, 4

  • HIV testing 3
  • Diabetes screening 3
  • Evaluation for malignancy 3
  • Review of any immunosuppressive medications 3

If immunocompromised, consider more aggressive therapy with possible IV acyclovir and prolonged treatment duration. 3, 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Treatment of Chickenpox Lesions on the Eyelid

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Herpes Zoster Clinical Presentation and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Clinical progress note: Varicella Zoster.

Journal of hospital medicine, 2025

Guideline

Periorbital Herpes Simplex Diagnosis and Treatment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Severe complications of herpes zoster.

Herpes : the journal of the IHMF, 2007

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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