CME EDUCATIONAL OBJECTIVES1.Identify clinical lesions of shingles.2.Describe the importance of the attenuated varicella vaccine and its impact on shingles presentation.3.Discuss treatment options for patients with shingles. A 3-year-old, otherwise healthy female, presented to the dermatology clinic for evaluation of a painful eruption on her right arm and back. It had been present for 6 days, and had started as a single blister on her right fourth digit. Over several days, new lesions appeared on her right hand, forearm, arm, and back. All lesions were painful and pruritic. She was afebrile and otherwise felt well. Her vaccinations were all up to date. A review of systems was unremarkable; family history was noncontributory.