A 75-year-old man in good general health presents at your office regarding a blistering rash on the right face and nose of 48 hours' duration. Lancinating pain was noted for 2 or 3 days before the rash. He also complains of diminished visual acuity in the right eye. You diagnose herpes zoster of the ophthalmic division of the trigeminal nerve.
1. What are the primary lesions of herpes zoster?
2. What secondary lesions occur in herpes zoster?
3. What specific physical finding should you be alert for in this case?
4. What laboratory tests are needed to confirm the diagnosis?
5. What treatment would you recommend in this case?
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