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UC Max on Instagram: "What causes severe flank pain for days before the rash ever appears? What’s your diagnosis? Comment below! A 55-year-old woman presents to a clinic with 5 days of burning, deep right-sided flank pain, severe enough to disrupt sleep. No urinary symptoms. No abdominal pain. Chills at night. Then a new rash appears. On physical exam, she has grouped vesicles in a dermatomal distribution that doesn’t cross the midline—classic for herpes zoster. But the story doesn’t stop there.
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