Herpes Zoster of Mandibular Division of Trigeminal Nerve (V3).

3 years old lady presented with complaints of painful blisters on the right lower face, ulcers in the mouth and severe right otalgia of 24 hours duration. She had burning sensation in the skin near the lower lip two days prior to the appearance of the blisters. Examination revealed vesicular eruptions with clear fluid on right half of face involving the cheek, chin and lower lip (Figure 1) . ora l examinat ion revealed multiple shallow mucosal ulcers ganglia.1 The incidence of Herpes zoster increases with age and immunosuppression.2 The most commonly affected cranial nerves are trigeminal and facial nerve due to reactivation of HZV latent in the gasserian and geniculate ganglia. The ophthalmic branch of trigeminal nerve is affected several times more frequently than the second or third divisions.3 Early diagnosis and prompt treatment with antiviral drugs is the mainstay of management.