Acute herpes zoster - Revision history

Rossdonaldson1: Rossdonaldson1 moved page Herpes zoster to Acute herpes zoster

2025-01-29T19:07:10Z

← Revisión anterior	Revisión del 19:07 29 ene 2025
(Sin diferencias)

2025-01-29T19:05:17Z

Background

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	==Background==		==Background==
	[[File:Dermatoms alt.png\|thumb\|Sensory ~~dermatome~~ by spinal level.]]		[[File:Dermatoms alt.png\|thumb\|Sensory dermatomes by spinal level.]]
	*Also known as shingles		*Also known as shingles
	*Caused by [[varicella zoster virus]] (VZV; also known as Human Herpes Virus 3) causing [[Varicella]] (chicken pox) and later zoster (shingles)		*Caused by [[varicella zoster virus]] (VZV; also known as Human Herpes Virus 3) causing [[Varicella]] (chicken pox) and later zoster (shingles)

2025-01-29T19:04:50Z

Glucocorticoids

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	===[[Glucocorticoids]]===		===[[Glucocorticoids]]===
	*Steroids not shown to be beneficial<ref>He L, Zhang D, Zhou M, Zhu C. Corticosteroids for preventing postherpetic neuralgia. Cochrane Database Syst Rev. 2008.</ref>		*Steroids ''not'' shown to be beneficial<ref>He L, Zhang D, Zhou M, Zhu C. Corticosteroids for preventing postherpetic neuralgia. Cochrane Database Syst Rev. 2008.</ref>

	==Disposition==		==Disposition==

2025-01-29T19:04:02Z

2025-01-29T19:03:37Z

Complications

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	==Complications==		==Complications==
	*Postherpetic ~~Neuralgia~~ (risk increases with age)		*[[Postherpetic neuralgia]] (risk increases with age)
	*[[Cellulitis]]		*[[Cellulitis]]
	*[[Impetigo]]		*[[Impetigo]]

2025-01-29T19:03:03Z

Background

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	==Background==		==Background==
			[[File:Dermatoms alt.png\|thumb\|Sensory dermatome by spinal level.]]
	*Also known as shingles		*Also known as shingles
	*Caused by [[varicella zoster virus]] (VZV; also known as Human Herpes Virus 3) causing [[Varicella]] (chicken pox) and later zoster (shingles)		*Caused by [[varicella zoster virus]] (VZV; also known as Human Herpes Virus 3) causing [[Varicella]] (chicken pox) and later zoster (shingles)

2025-01-15T22:58:12Z

Evaluation

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	*Consider further evaluation for immunocompromized state (may be initial presentation of [[HIV]]) if:		*Consider further evaluation for immunocompromized state (may be initial presentation of [[HIV]]) if:
	**Disseminated		**Disseminated
	***For skin disseminated is 3 or more dermatomes affected.		***For skin, disseminated is defined as more than 20 lesions outside the primary and adjacent dermatomes<ref>Bolognia, J. L., Schaffer, J. V., & Cerroni, L. (n.d.). Dermatology: 2-Volume Set. Elsevier.3 or more dermatomes affected.</ref>
	***Can also disseminate to other organs including liver, lung, and brain.		***Can also disseminate to other organs including liver, lung, and brain.
	**Atypical illness/severe disease		**Atypical illness/severe disease

2024-05-08T14:08:56Z

Antivirals

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	===[[Antivirals]]===		===[[Antivirals]]===
	*Reduces risk/duration of postherpetic neuralgia with dosing based on immune status and time course of disease		*Reduces risk/duration of [[postherpetic neuralgia]] with dosing based on immune status and time course of disease
	*Not effective in treating postherpetic neuralgia once it has developed		*Not effective in treating postherpetic neuralgia once it has developed
	'''Immunocompetent patients:'''		'''Immunocompetent patients:'''

2023-07-12T21:08:51Z

← Revisión anterior		Revisión del 21:08 12 jul 2023
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	*Zoster vaccination if >60		*Zoster vaccination if >60

			{{Herpes viruses}}

			==Clinical Features==
	[[File:Zoster.jpeg\|thumb\|Herpes Zoster]]		[[File:Zoster.jpeg\|thumb\|Herpes Zoster]]
	[[File:Shingles.jpg\|thumb\|Herpes Zoster]]		[[File:Shingles.jpg\|thumb\|Herpes Zoster]]

	~~==Clinical Features==~~
	*Prodrome: [[Headache]], [[Weakness\|malaise]], photophobia		*Prodrome: [[Headache]], [[Weakness\|malaise]], photophobia
	*Antecedent [[pruritus]], [[paresthesia]], pain to dermatome 2-3 days prior to rash		*Antecedent [[pruritus]], [[paresthesia]], pain to dermatome 2-3 days prior to rash

2021-07-29T20:51:58Z

Clinical Features

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	*Lumbar and sacral dermatomes may display skin sparing between the feet and groin		*Lumbar and sacral dermatomes may display skin sparing between the feet and groin
	*V3 involvement can present initially as dental pain		*V3 involvement can present initially as dental pain
			[[File:Herpes Zoster.jpg\|thumb]]

	==Differential Diagnosis==		==Differential Diagnosis==

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	==See Also==		==See Also==
			*[[Postherpetic neuralgia]]
	*[[Herpes zoster ophthalmicus]]		*[[Herpes zoster ophthalmicus]]
	*[[Herpes zoster oticus]] (Ramsay Hunt syndrome)		*[[Herpes zoster oticus]] (Ramsay Hunt syndrome)