RT Book, Section A1 Mayeaux, E.J. A1 Usatine, Richard P. A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114874826 T1 Herpes Zoster T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114874826 RD 2024/10/14 AB A 14-year-old boy presents with deep burning pain and a vesicular eruption in a band starting at the left chest and ending just across the midline of the back (Figure 109-1). The varicella-zoster virus (VZV) leaves the dorsal root ganglion to travel down the spinal nerves to the cutaneous nerves of the skin. The vesicles do cross the midline by a few centimeters because the posterior primary ramus of the spinal nerve includes a small cutaneous medial branch that reaches across the midline.1 The boy was treated with analgesics and an antiviral medication. The zoster healed with scarring.