Abstract
A 61 year old male with a history of B-cell lymphoma presented with hemorrhagic vesicles and bullae in the C8-T2 distribution. He was diagnosed with disseminated hemorrhagic varicella zoster. Given persistent thrombocytopenia, a bone marrow biopsy was performed that revealed transformation to acute myeloid leukemia. Hemorrhagic herpes zoster may be a marker of occult cancer, especially hematologic malignancies.
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