Herpes zoster (HZ) is an often painful and incapacitating acute viral illness characterized
by inflammation of the dorsal root ganglia or extramedullary cranial nerve ganglia
and vesicular eruptions of the skin or mucous membrane in an area supplied by the
afflicted nerve. HZ, also known as shingles, is derived from the Latin word cingulum, meaning 'girdle.' (
1
). The typical HZ presentation is a unilateral rash that often wraps around the torso
like a girdle. In immune-competent individuals, HZ manifests as a rash that lasts
2–3 weeks and is accompanied by moderate to severe discomfort. Postherpetic neuralgia
(PHN) is a consequence of HZ infection that can last weeks, months, or even years
after the rash has healed. We present a case of HZ that was treated and how it resolved
and then flared back up with a manifestation of recurrent hyperemia in the same anatomic
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References
- [Diagnosis, treatment and prophylaxis of herpes zoster].Z Rheumatol. 2020; 79 ([in German]): 1009-1017
Centers for Disease Control and Prevention (CDC). Clinical overview of herpes zoster (shingles). Available at: https://www.cdc.gov/shingles/hcp/clinical-overview.html. Accessed 5 October 2020.
- Herpes zoster: diagnostic, therapeutic, and preventive approaches.Postgrad Med. 2013; 125: 78-91
- Herpes zoster (shingles) and postherpetic neuralgia.Mayo Clin Proc. 2009; 84: 274-280
- Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia.Pain. 1996; 65: 39-44
- An update on the treatment of postherpetic neuralgia.J Pain. 2008; 9 (1 suppl): S19-S30
- Pregabalin reduces pain and improves sleep and mood disturbances in patients with post-herpetic neuralgia: results of a randomised, placebo-controlled clinical trial.Pain. 2004; 109: 26-35
Article info
Publication history
Published online: May 04, 2022
Accepted:
April 23,
2022
Received in revised form:
April 4,
2022
Received:
January 2,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.