Herpes Zoster Involving the Hard Palate – A Case Report

Abstract

Herpes zoster of the oral cavity is a rare manifestation, typically presenting with unilateral painful ulcerations confined to the affected dermatome. Effective antiviral therapies and vaccines are available for both varicella and herpes zoster, significantly reducing disease severity and preventing Varicella-zoster virus (VZV) associated complications. This case report presents a rare instance of herpes zoster involving the hard palate in a middle-aged male patient, emphasising the importance of early diagnosis and prompt management of oral manifestations. A 40-year-old male presented with a five-day history of severe burning sensation on the left hard palate, preceded by mild intermittent fever and fatigue. Intraoral examination revealed multiple clustered shallow ulcers with irregular margins, strictly confined to the left side, with surrounding erythema and tenderness. The right palate and underlying bone were unaffected. A provisional diagnosis of oral herpes zoster was made. The patient was managed with oral acyclovir (400 mg three times daily), paracetamol (500 mg three times daily), and multivitamins for one week, along with advice on hydration. Complete resolution of lesions and associated symptoms was observed within seven days. This case emphasises the importance of early recognition and antiviral therapy in managing oral herpes zoster to ensure rapid symptom relief and prevent complications.