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What is the most likely diagnosis for a patient presenting with a vesicular lesion around the eye and a palpable preauricular lymph node?

1) Herpes zoster ophthalmicus
2) Bacterial conjunctivitis
3) Allergic conjunctivitis
4) Stye

1 Answer

4 votes

Final answer:

The most likely diagnosis is Herpes zoster ophthalmicus.

Step-by-step explanation:

The most likely diagnosis for a patient presenting with a vesicular lesion around the eye and a palpable preauricular lymph node is Herpes zoster ophthalmicus. Herpes zoster ophthalmicus is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. The virus affects the ophthalmic branch of the trigeminal nerve, leading to a rash around the eye and potentially causing damage to the cornea and other ocular structures.

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