A. B.

Figure 1. Chronic verrucous Oka strain VZV in immunocompromised patient.A) Widespread nonhealing lesions on patient’s right thigh shown approximately four weeks after starting acyclovir therapy. New vesicles continued to erupt in this region as well as distantly (hands, face) while on acyclovir. Of interest, patient originally received varicella vaccine in left thigh but eruption was most severe on right leg. B) Lesions on right foot demonstrate wart-like appearance (arrow) with central umbilication and surrounding chronic erythema characteristic of chronic verrucous VZV.