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This was followed by the appearance of a vesicular painful and itchy rash which directed further diagnosis and treatment as it was consistent with a varicella reactivation rash. This case is a very important addition to the current body of literature on varicella-related neurological complications. It outlines that varicella reactivation can present in completely vaccinated, immunocompetent young children as a neurological syndrome affecting the autonomic nervous system primarily and the rash can occur a few weeks later after presentation of the neurological symptoms.<\/jats:p>","DOI":"10.1177\/2329048x221079429","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T08:09:12Z","timestamp":1644566952000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Ptosis, Zosteriform Rash and Flaccid Bladder in a 10-Year-old boy"],"prefix":"10.1177","volume":"9","author":[{"given":"Sara","family":"Adducchio","sequence":"first","affiliation":[{"name":"Dayton Children\u2019s Hospital, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irma","family":"Reyes","sequence":"additional","affiliation":[{"name":"Dayton Children\u2019s Hospital, Dayton, Ohio, USA"},{"name":"Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh","family":"Chikkannaiah","sequence":"additional","affiliation":[{"name":"Dayton Children\u2019s Hospital, Dayton, Ohio, USA"},{"name":"Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Rasch","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9035-6427","authenticated-orcid":false,"given":"Gogi","family":"Kumar","sequence":"additional","affiliation":[{"name":"Dayton Children\u2019s Hospital, Dayton, Ohio, USA"},{"name":"Wright State University Boonshoft School of Medicine, Dayton, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"bibr1-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1007\/s13365-020-00857-w"},{"key":"bibr2-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.3390\/v10110609"},{"key":"bibr3-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.924.575"},{"key":"bibr4-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2019.03.002"},{"key":"bibr5-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012124"},{"key":"bibr6-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.10.023"},{"key":"bibr7-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1177\/0883073820938597"},{"key":"bibr8-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.3390\/v12101078"},{"key":"bibr9-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15303"},{"key":"bibr10-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.915300"},{"key":"bibr11-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.8.1215"},{"key":"bibr12-2329048X221079429","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiy407"},{"issue":"4","key":"bibr13-2329048X221079429","doi-asserted-by":"crossref","first-page":"534","DOI":"10.4103\/njcp.njcp_244_16","volume":"21","author":"He H","year":"2018","journal-title":"Niger J Clin Pract"},{"issue":"6","key":"bibr14-2329048X221079429","first-page":"e8469","volume":"12","author":"Alalwan AA","year":"2020","journal-title":"Cureus"}],"container-title":["Child Neurology Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2329048X221079429","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2329048X221079429","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2329048X221079429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:58:15Z","timestamp":1777391895000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2329048X221079429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":14,"alternative-id":["10.1177\/2329048X221079429"],"URL":"https:\/\/doi.org\/10.1177\/2329048x221079429","relation":{},"ISSN":["2329-048X","2329-048X"],"issn-type":[{"value":"2329-048X","type":"print"},{"value":"2329-048X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2329048X221079429"}}