Sacral (S1) herpes zoster

Anca Chiriac,1–3 Anca E Chiriac,4 Adrian Naznean,5 Cosmin Moldovan,6 Cristian Podoleanu,7 Simona Stolnicu81The Department of Dermato-Physiology, Apollonia University, Iaşi, Romania; 2Department of Dermatology, Nicolina Medical Center, Iaşi, Romania; 3“P. Poni’’ Institute of Macromolecular Chemistry, Iaşi, Romania; 4Department of Epidemiology, University of Medicine and Pharmacy " Grigore T Popa", Iaşi, Romania; 5The Department of Foreign Languages, The University of Medicine and Pharmacy of Tîrgu Mureș, Tîrgu Mureș, , Romania; 6The Department of Applied Simulation in Medicine, The University of Medicine and Pharmacy of Tîrgu Mureș, Tîrgu Mureș, Romania; 7The Department of Cardiology, The University of Medicine and Pharmacy of Tîrgu Mureș, Tîrgu Mureș, Romania; 8The Department of Pathology, The University of Medicine and Pharmacy of Tîrgu Mureș, Tîrgu Mureș, RomaniaAbstract: Herpes zoster usually affects the thoracic and lumbar vertebra (T3–L3), while sacral herpes zoster has been very rarely reported. We present a very rare case of herpes zoster involving S1 dermatome in a 35-year-old healthy man who presented aching pain and typical herpes zoster eruption on the lateral aspect of the calcaneus, lateral plantar area and dorsal aspect of digits III and IV.Keywords: herpes zoster, S1, pain, sacral zoster