A case of follicular mucinosis (FM) after herpes zoster infection (VZV), which can be considered an epithelial reaction pattern defined by follicular mucin accumulation due to different triggers, is presented.A 59-year-old woman, with no personal history of interest, attended to our outpatient dermatological clinic complaining pruritic lesions on the neck and left supraclavicular area for 2 months. A 3 months before, the patient had had a VZV in that location (Figure 1A), persisting postherpetic neuralgia. Physical examination revealed monomorphic erythematous papules confluent in plaques, distributed over the area of left C3-C5 dermatomes (Figure 1B,C). Laboratory test including blood count cell test, general biochemistry, and autoimmune analysis (autoantibodies, immunoglobulins and complement) were within normal limits. Histological findings showed perifollicular dermatitis with