Multiple granuloma annulare lesions presenting simultaneously with herpes zoster infection: Wolf's isotopic response

Postherpes zoster programmed death-1 inhibitor−associated zosteriform granulomatous reactions

“… 9 Thus, these cases present an interesting phenomenon of immune dysregulation confounded by 2 different etiologies and highlight the importance of considering Wolf postherpetic isotopic response when treating zosteriform lesions. 10 …”

Granuloma Annulare: An Updated Review of Epidemiology, Pathogenesis, and Treatment Options

“…GA in the setting of viral infections has also been noted, with Epstein–Barr virus [ 44 ], human immunodeficiency virus [ 21 ], and varicella zoster virus (VZV) [ 45 , 46 ] being recently reported. Two cases of GA triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have also been described [ 47 , 48 ].…”

Concurrent presentation of tumid lupus with herpes zoster infection: A variant of Wolf isotopic response?

“…We respectfully argue that neither this patient nor the patient presented by Ali et al 1 meet the requirement for an isotopic response because of the simultaneous onset of both diseases. Indeed, Wolf and Wolf 8 have since reiterated the sequential nature of the 2 dermatoses and encouraged clinicians to refrain from distorting their original definition.…”

“…To the Editor : We read with special interest the case discussed by Ali et al 1 in the August 2018 issue of JAAD Case Reports that reported a 54-year-old woman with a history of varicella zoster infection (VZV) on the breast, who presented with annular lesions with central vesicles on her abdomen. Based on her clinical presentation, granuloma annulare was diagnosed, whereas Tzanck smear and direct fluorescent antibody confirmed VZV infection.…”