Question

A 72-year-old woman presents with a 2-week history of painful vesicular rash in a dermatomal distribution affecting the left side of her forehead and around the left eye. There are vesicles on the tip of her nose. What is the most appropriate immediate management?

Accepted Answer

Oral Aciclovir 800mg 5 times daily AND urgent same-day referral to Ophthalmology

Answer

Topical Aciclovir cream 5 times daily

Answer

Oral Valaciclovir 1g TDS AND routine referral to Ophthalmology

Answer

Analgesia only (e.g., Paracetamol and Amitriptyline)

Answer

Oral Prednisolone 40mg OD

Practice question

A 72-year-old woman presents with a 2-week history of painful vesicular rash in a dermatomal distribution affecting the left side of her forehead and around the left eye. There are vesicles on the tip of her nose. What is the most appropriate immediate management?