All that glitters... is not herpes

A case of mistaken identity

Glitter, like herpes, tends to linger. But in this particular case, the sparkly stuff almost led to a mistaken diagnosis and unnecessary antivirals.

Herpes glitter

The mix-up, published in BMJ Case Reports, occurred when a 49-year-old woman presented to an eye casualty department in the UK with a painful, red right eye, swollen eyelid and reduced vision.

On slit-lamp examination, the senior house officer noticed a dendritic-like lesion in the cornea just below the visual axis.

This led to an initial suspicion of herpes simplex infection until the