Liwei Feng,1 Pei Liu,2 Meilin Huang,3 Linjie Tian,4 Xiaolin Bu5 

1School of Gongli Hospital Medical Technology, University of Shanghai for Science and Technology, Shanghai, People’s Republic of China; 2Department of Imaging, Gongli Hospital of Shanghai Pudong New Area, Shanghai, People’s Republic of China; 3Department of Dermatology, Zhoupu Hospital, Shanghai Medical College of Health Sciences, Shanghai, People’s Republic of China; 4The Graduate School, Ningxia Medical University, Yinchuan, Ningxia, People’s Republic of China; 5Laboratory of Laser and Medical Innovation Application, Department of Dermatology, Gongli Hospital of Shanghai Pudong New Area, Shanghai, People’s Republic of China

Correspondence: Xiaolin Bu, Email xiaolinbu@yeah.net

Abstract: The patient, a 77-year-old Asian male presented with herpes zoster in the left lumbar and abdominal regions 9 weeks before presentation. The infection dried up after 2 weeks but was followed by an erythematous scaly rash in the same region with left-sided abdominal elevation. Pathological examination revealed continuous parakeratosis and Munro microabscesses. Abdominal computer tomography revealed no abnormalities, suggesting psoriasis with herpes zoster and Wolf’s isotopic response to the pseudohernia of the abdominal wall.

Keywords: herpes zoster, psoriasis, Wolf’s isotopic response, abdominal wall pseudo-inguinal hernia