Facial pustules after radiation treatment


  • Herpes Zoster 2_0612 Derm Dx

  • Herpes Zoster_1012 Derm Clinic

A man, aged 79 years, was referred by his radiation oncologist for treatment of a rash on his face and oral cavity. The man had a history of head and neck squamous cell carcinoma and had been undergoing radiation therapy for several months. This eruption developed six days after the most recent radiation treatment.

The patient reported burning and “gnawing” pain. Multiple vesiculopustules were found on the upper right side of his face extending from his ear to his nasal tip, and he had conjunctival injection of the right eye. The right side of the palate was covered with confluent pustules and erosions. 

HOW TO TAKE THE POST-TEST: This Clinical Advisor CME activity consists of 3 articles. To obtain credit, you must also read Extremely pruritic rash on the back and White plaques in the oral cavity. The post-test will include questions related to all three articles. Click here to obtain CME/CE credit.

Submit your diagnosis to see full explanation.

Next hm-slideshow in Clinical Quiz