eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-11-13 5 11 274 275 10.12691/ajmcr-5-11-2 AJMCR20175112 article P C Bhattacharyya 1 Abhinand Potpelwer 2 Lalit Mohan Bhardwaj dr.lalitmohan7@gmail.com, p_c_bhatta@hotmail.com 3 Senior consultant and head of department of medicine, down town hospital, Guwahati, Assam DNB, General Medicine, down town hospital, Guwahati, Assam DNB PGT, General Medicine, down town hospital, Guwahati, Assam Multi-dermatomal involvement is uncommon in varicella zoster infection and indicates underlying immunosuppression. A 43 years old male, a known diabetic presented with painful papulovesicular lesions over the left side of the chest, back, arms and forearm with the history of chickenpox one month back. On evaluation for an unusual presentation, he was found to be reactive to HIV. Diagnosis of HZ was confirmed by HZV PCR. He was treated with antivirals, insulins, pain management and care of the lesions. The occurrence of the multi dermatomal herpes zoster with bilaterally symmetrical involvement immediately the following chickenpox is a rare observation and needs to be reported. http://pubs.sciepub.com/ajmcr/5/11/2/ajmcr-5-11-2.pdf Multidermatomal Herpes Zoster HIV Varicella Zoster