Atypical multidermatomal herpes zoster in young immunocompetent adults

This case series describes an unusual presentation of multidermatomal herpes zoster in two immunocompetent young adult males, aged 35 and 20 years. Both patients presented with lesions involving multiple dermatomes, differing from the classic unilateral dermatomal pattern typically seen in herpes zoster. Psychological stress was identified as a possible contributing factor in both cases. Dermoscopy, a still infrequently utilized tool in herpes zoster, played a supportive role in early recognition and diagnostic confidence. Early diagnosis was followed by timely antiviral therapy and supportive measures, including stress reduction strategies, with subsequent clinical resolution. This case series highlights the potential link between psychological stress and viral reactivation while also underscoring the clinical value of dermoscopy as a rapid adjunctive diagnostic tool.