Postherpetic complications can sometimes result in significant debility. A multidisciplinary approach is crucial in deciding the appropriate treatment strategy in these patients.

Although less common compared to postherpetic neuralgia, post herpes itch (PHI) is a known sequela after herpetic infections.PHI usually disappears over weeks to months, requiring only symptomatic management. Rarely, PHI can result in significant debilitation. We report one case of extreme post herpetic itching and review the available literature. Hosted filepost herpetic itching.pdf available at https://authorea.com/users/367681/articles/487153-theneuropathic-itch-do-not-scratch-your-head-too-hard