{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T12:14:43Z","timestamp":1752668083908,"version":"3.41.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n          <jats:p>We present a case of a 55-year-old man with a rash on his right foot that was biopsied and diagnosed as a <jats:italic toggle=\"yes\">Varicella Zoster virus<\/jats:italic> infection with an accompanying positive immunohistochemical study with antiviral antibodies. He concomitantly suffered from a <jats:italic toggle=\"yes\">Varicella Zoster virus<\/jats:italic> meningitis. The skin biopsies not only showed clear histologic signs of viral cytopathic effects but also showed intercellular IgG and C3 intraepidermal staining by direct immunofluorescence study, findings which are typically consistent with pemphigus vulgaris. However, the patient did not have any history of pemphigus; there was no mucosal involvement, and serum antibodies to desmoglein 1 and 3 were negative. After discharge, the patient continued to have right-sided foot pain, and he continued the acyclovir treatment.<\/jats:p>","DOI":"10.1097\/dad.0000000000002178","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T14:18:33Z","timestamp":1647872313000},"page":"e75-e78","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Varicella Zoster With Pemphigus-like Reaction"],"prefix":"10.1097","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6617-2364","authenticated-orcid":false,"given":"Angel","family":"Fernandez-Flores","sequence":"first","affiliation":[{"name":"Department of Histopathology, University Hospital El Bierzo, Ponferrada, Spain;"},{"name":"Department of Cellular Pathology, Hospital de La Reina, Ponferrada, Spain;"},{"name":"Research Department, Institute for Biomedical Research of A Coru\u00f1a (INIBIC), University of A Coru\u00f1a (UDC), A Coru\u00f1a, Spain; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Cassarino","sequence":"additional","affiliation":[{"name":"Los Angeles Medical Center (LAMC), Southern California Kaiser Permanente, Departments of Pathology and Dermatology, Los Angeles, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"R1-20250616","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1111\/j.1365-4632.2011.05393.x","article-title":"Unsuspected varicella-zoster infection complicating mucosal-dominant pemphigus vulgaris","volume":"52","author":"Murata","year":"2013","journal-title":"Int J Dermatol."},{"key":"R2-20250616","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.1111\/ijd.14711","article-title":"Reactivation of pemphigus by varicella zoster virus after anti-CD20 treatment","volume":"59","author":"Douard","year":"2020","journal-title":"Int J 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