2. lumbar dermatomes
3. Pts w/ underlying health problem
Avoid touching or scratching the rash.
Wash your hands often to prevent the spread of varicella zoster virus.
Until your rash has developed crusts, avoid contact with
– pregnant women who have never had chickenpox or the chickenpox vaccine;
– premature or low birth weight infants; and
– people with weakened immune systems, such as people receiving immunosuppressive medications or undergoing chemotherapy, organ transplant recipients, and people with human immunodeficiency virus (HIV) infection.
Giant multinucleated cells (a finding in all herpetic infections)
2. Severe rash
3. intense predromal pain
4. increasing age
moderate risk w/ thoracic outbreak, and lower risk w/ jaw, neck, sacral and lumbar involvement