I got this case on the weekend. The patient was able to get a photo that clearly showed these minute blisters grouped on a red area of skin. There also was a smaller group of blisters off to one side. These findings are consistent with shingles which is a reactivation of varicella-zoster virus. This is the virus that causes chicken pox. The important aspect here is that if a patient with shingles doesn’t receive treatment within 72 hours, the medication is ineffective and the person is subject to the potentially devastating effects of the virus. This patient was given valacyclovir within 24 hours of the initial outbreak and cleared without any problems.