PT - JOURNAL ARTICLE AU - Annalan Mathew Dwight Navaratnam AU - Nan Ma AU - Maria Farrukh AU - Aza Abdulla TI - Chickenpox: an ageless disease AID - 10.1136/bcr-2017-222027 DP - 2017 Dec 21 TA - BMJ Case Reports PG - bcr-2017-222027 VI - 2017 4099 - http://casereports.bmj.com/content/2017/bcr-2017-222027.short 4100 - http://casereports.bmj.com/content/2017/bcr-2017-222027.full AB - A 97-year-old woman presented with 4-day history of vesicular rash, initially at the feet but then spread up to the thighs bilaterally, abdomen and trunk. The initial differentials included bullous pemphigus and cellulitis by the emergency department. She was then managed as bullous pemphigus by the acute medical team and started on high-dose steroids, with no other differentials considered. When her care was taken over by the general medical team, varicella zoster virus (VZV) infection was suspected. After confirmation by the dermatology team regarding the clinical diagnosis and the positive VZV DNA swabs, she was started on acyclovir.