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Images in paediatrics
C3-C4 shingles post haematopoietic stem-cell transplantation
  1. Siobhan Connor1,
  2. Mairead O'Brien1,
  3. Alan Irvine2,3,
  4. Aengus O'Marcaigh1,3,
  5. Owen Smith1,3
  1. 1 Department of Haematolgy, Our Lady's Children's Hospital, Dublin, Ireland
  2. 2 Department of Dermatology, Our Lady's Children's Hospital, Dublin, Ireland
  3. 3 Trinity College Dublin, Dublin, Ireland
  1. Correspondence to Professor Owen Smith, Department of Haematolgy, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland; owen.smith{at}

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A 12-year-old boy, 3 months following matched unrelated haematopoietic stem-cell transplantation (HSCT) for relapsed acute myeloid leukaemia with inv(16)(p13.1q22) developed a rapidly spreading, severely pruritic right sided C3-C4 shingles. Despite early intravenous aciclovir (10 mg/kg, three times a day), he developed full C3-C4 dermatome skin erosion to the dermis with secondary hair loss extending to …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.