4) Herpes zoster – lesions are maculopapular, plaques, vesicles, a grouping of vesicles, vesicles initially clear fluid, later purulent, neurological symptom restricted to the dermatome include hyperesthesia, dysesthesia, hypoesthesia, lesions along a dermatome, usually thoracic nerves (chest), cervical (neck) or lumbar nerves (posterior thigh), ophthalmic nerve (facial), Ramsay Hunt Syndrome of zoster lesions in the pinna, hearing loss, facial pain, facial paresis, loss of taste sensation, vertigo (facial nerve), Mx – Oral Acyclovir 800 mg five times a day for 7-10 days, to be started within 24-72 hrs of onset, OR Valacyclovir 1000 mg PO tid for 1 week OR Famciclovir 500 mg PO tid for 1 week, valacyclovir and famciclovir superior to acyclovir for clinical outcomes, lesions management include wet compresses of 1:20 Burow’s solution, for secondary infections systemic antibiotics