Herpes zoster with sacral and inguinal involvement in a patient with rheumatoid arthritis

Herpes zoster  is a disease characterized by painful vesicular rash, most commonly involving the thoracic region, involving the cervical, lumbar, sacral and ophthalmic regions, resulting from the reactivation of varicella zoster virus, which remains latent in the dorsal root ganglia. In this case report, we present a case of shingles characterized by painful vesicular eruptions in the sacral and inguinal regions in a 72-year-old patient with underlying rheumatoid arthritis. The patient was diagnosed by physical examination and laboratory tests (varicella zoster-IgG positivity). After acyclovir treatment, the lesions regressed. The case is presented because of sacral and inguinal involvement (atypical presentation).