Pathology · single question

A patient has skin and intraoral ulcers; the lesions are UNILATERAL and characteristically do NOT cross the midline. The diagnosis is:

  1. Primary herpetic gingivostomatitis
  2. Herpes zoster (reactivated varicella-zoster virus)
  3. Recurrent aphthous ulcers
  4. Erythema multiforme
Show answer and explanation

Correct answer: B. Herpes zoster (reactivated varicella-zoster virus)

  • A. Primary herpes is bilateral/diffuse with systemic prodrome, not dermatomal.
  • B. Correct. Herpes zoster follows a dermatome and does not cross the midline.
  • C. Aphthae are recurrent oral ulcers, not dermatomal skin vesicles.
  • D. Erythema multiforme shows target lesions and crusted lips, not a strict dermatomal pattern.

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