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Herpes Zoster

 Syn. Shingles , Herpes zoster infection , HZ

Signs & Symptoms

 Burning of dermal lesion
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Throbbing of dermal lesion
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Severe pain of dermal lesion
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Stabbing of dermal lesion
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]

Physical Examination

 Involvment of dermatomos from T3 to L3
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Vesicular dermal eruption
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Unilateral dermatomal eruption
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]

Lab / Serology

Imagin Study

Complication

 Lose sense of taste
Note: Ramsay Hunt syndrome
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]
Lesions on mouth
Note: When branches of the trigeminal nerve are involved
Ref: Harrison [ 1355]
Lesions on face
Note: When branches of the trigeminal nerve are involved
Ref: Harrison [ 1355]

Risk Factors

 Transplant recipients
Ref: Uptodate [ Epidemiology and pathogenesis of varicella-zoster virus infection: Herpes zoster]
Elder
Ref: Uptodate [ Epidemiology and pathogenesis of varicella-zoster virus infection: Herpes zoster]
HIV infection
Ref: Uptodate [ Epidemiology and pathogenesis of varicella-zoster virus infection: Herpes zoster]

Cause

 Reactivation of latent VZV
Ref: Uptodate [ Clinical manifestations of varicella-zoster virus infection: Herpes zoster] Harrison [ 1355]

Other