| Autor: |
Nigam, Pranesh, Dayal, S.G., Dubey, A.L. |
| Zdroj: |
The Journal of Dermatology; December 1980, Vol. 7 Issue: 6 p443-447, 5p |
| Abstrakt: |
Chicken pox and herpes zoster are different manifestations of infection by the same viral agent, but the simultaneous occurrence of both in the same patient is uncommon. In this communication we present seven cases of concurrent herpes zoster and chicken pox. Adults were frequently involved, with a male to female ratio of 2.5:1. Varicelliform eruptions followed unilateral herpetic attacks within a 5–8 day interval. Milliary tuberculosis was associated in two cases and cervical tuberculous lymphadenitis in one case. Fever and pain (localised to affected areas) appeared 5–7 days before (5 cases) or concomittant with the appearance of skin eruptions (2 cases). The skin lesions started with local redness followed by red papules which progressed to vesicular, pustular and crusting stages over the next two weeks. The lesions were arranged unilaterally in characteristic bandlike clusters, following radicular lines. The trigeminal nerve was involved in one case. Another patient developed Ramsay Hunt Syndrome (Facial nerve palsy) after seven days of herpetic lesions. Post‐herpetic neuralgia present in two cases was treated effectively with corticosteroids and residual post‐herpetic hyperasthesia improved gradually. Carbamezapine (Mazetol) 100–300 mg/day helped in relieving pain. Corticosteroids proved to be beneficial in reducing severity and morbidity of the disease. |
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