A 52-year-old man presents with right-sided facial pain and vesicular rash on the right forehead and upper eyelid. Some vesicles are present on the ti...

Question

A 52-year-old man presents with right-sided facial pain and vesicular rash on the right forehead and upper eyelid. Some vesicles are present on the tip of the nose. What is the most important next step in management?

Accepted Answer

Start high-dose oral acyclovir and arrange urgent ophthalmology review

Answer

Start topical acyclovir cream only

Answer

Reassure and give simple analgesia only

Answer

Start systemic steroids alone

Answer

Admit for IV antibiotics for presumed cellulitis

au-racgp MCQ (SBA): Herpes zoster ophthalmicus

A 52-year-old man presents with right-sided facial pain and vesicular rash on the right forehead and upper eyelid. Some vesicles are present on the tip of the nose. What is the most important next step in management?