双侧带状疱疹1例

患者女,５１岁。因左侧腰腹部群集性丘疹、红斑、水疱伴疼痛５天,右侧腰腹部群集性丘疹、红斑、水疱伴疼痛３天来诊。患者于５天前感觉左侧腰腹部疼痛,随后出现红斑、丘疹及水疱,在外院以带状疱疹治疗２天,用过病毒唑、去痛片等药物。３天前右侧与左侧皮损相对应部位...     

带状疱疹伴发多发性肌炎1例

临床资料患者女,74岁.因右侧腰腹部红斑水疱糜烂伴疼痛20天于2009年6月9日来我院就诊.患者20天前无明显诱因右侧腰腹部持续性剧痛,渐起红斑水疱甚至融合成大疱,部分水疱破溃糜烂.当地医院诊为带状疱疹伴感染,治疗(具体药物不详)效果差.     

带状疱疹伴腹部膨出1例

临床资料 患者男，57岁。右侧腰腹部起皮疹伴疼痛1周，以“带状疱疹”于2006年4月14日收入院治疗。患者于1周前无明显诱因右侧腰腹部针刺样疼痛，阵发性加剧，夜间明显，很快在疼痛部位起红斑、水疱，成簇、条带状。外院口服阿昔洛韦片、外用阿昔洛书软膏，无好转，遂来诊。既往：高血压病史10年，现血压尚稳定。有长期吸烟、饮酒史。否认其他病史。否认食物、药物过敏史。查体：     

老年带状疱疹复发1例

患者女，75岁。右侧臀部簇集性红斑水疱伴疼痛1周就诊。该患者4年前于同一部位无明显诱因出现同样症状，经诊断为“坐骨神经带状疱疹”，予抗病毒治疗，1月后症状消失而愈。     

双侧双重带状疱疹1例

报告1例双侧双重带状疱疹。患者男,40岁,右侧腰腹部及左侧胸背部、上肢群集性水疱伴触痛3天。体检:右侧腰腹部及左侧胸背部、上肢屈侧见红斑基础上群集性米粒至绿豆大丘疱疹、水疱。根据病史及临床表现诊断为双侧双重带状疱疹。同时对本病的定义、临床表现、治疗及预后等情况进行分析。     

带状疱疹并发腹肌麻痹1例

带状疱疹并发腹肌麻痹国内少有报道,我们遇到1例报道如下。临床资料患者男,50岁,韩国商人。左腰腹部起红斑、水疱、疼痛1周,腹部膨隆4天,于2005年10月7日来我科就诊。患者1周前无明显诱因左侧腰腹部起红斑、水疱,伴阵发性刺痛,4天前发现局部皮肤膨隆,感觉无明显异常。发病以来,     

看图诊断

患者女性， 56岁。右腰腹部疼痛，出现红斑、水疱 5天，全身泛发 1天。 1年前因不明原因的“脾亢”行脾切除术。 4年前曾患过“带状疱疹”在我科治愈。皮肤科情况：右侧腰腹部见呈带状排列的红斑基础上的大小不等的水疱，小如玉米粒，大如鸡蛋，疱壁紧张或松弛疱液清或混浊，皮疹未越过前后正中线。面部、躯干、四肢、手、足密布粟粒大水疱或丘疱疹，周围均绕以红晕。 问 题： 1.该患者的临床印象是什么 ? 2.应与哪些疾病作鉴别诊断 ? (解答见本期第 257页 ) 1.根据临床病史及皮损特点，临床印象为泛发性带状疱疹。 2.应与 Kaposi水痘样…     

双侧双重带状疱疹1例

报告l例双侧双重带状疱疹。患者男，40岁，右侧腰腹部及左侧胸背部、上肢群集性水疱伴触痛3天。体检：右侧腰腹部及左侧胸背部、上肢屈侧见红斑基础上群集性米粒至绿豆大丘疱疹、水疱。根据病史及临床表现诊断为双侧双重带状疱疹。同时对本病的定义、临床表现、治疗及预后等情况进行分析。     

带状疱疹后银屑病同位反应1例及文献回顾

<正>1临床资料患者男,43岁。腰腹部左侧红斑、丘疹伴脱屑1个月。3个月前劳累后腰腹部左侧出现多片群集性红斑、水疱,单侧分布,沿肋间神经走向带状分布,伴针刺样疼痛,当地医院按"带状疱疹"给予"阿昔洛韦片、加巴喷丁胶囊、腺苷辅酶B12片、阿昔洛韦软膏"等治疗7d后疼痛缓解,水疱渐吸收、结痂脱落,3周后痊愈,遗留红褐色斑。1个月前,无明显原因相同部位出现点片状红斑、丘疹,上覆少量灰白色鳞屑,伴轻微瘙痒。当地按"皮     

祖孙三代罹患带状疱疹 水痘

带状疱疹好发于中老年人,水痘是一种传染性极强的发疹性疾病,好发于儿童,均是由于水痘 带状疱疹病毒感染所致。现将祖孙三代罹患二种疾病报告如下。1　临床资料　例 1女, 54岁。因右侧季肋部红斑、水疱 1天,疼痛 1周于 2004年 4月 15日就诊。1周前无明显诱因,感右侧季肋部时有针刺样疼痛。经体检、腹部B超检查排除胆囊炎、胆石症,疑诊“带状疱疹”,予板蓝根、维生素B1 口服。1天前,于疼痛区域出现红斑、群集性小水疱。既往体健,否认其它疾病史。皮肤科情况:右侧季肋部见大小不等片状红斑,簇集性豆粒大小水疱,沿神经走向呈单侧带状分布。诊…     

Monodermatomal herpes zoster in a pseudodisseminated distribution following breast reconstruction surgery

A 45-year-old woman underwent a modified radical mastectomy with transverse rectus abdominis myocutaneous (TRAM) flap reconstruction for newly diagnosed stage III breast cancer. Three months after beginning chemotherapy, she developed an erythematous, vesicular, painful rash along the right side of her abdomen that extended to the right side of her chest. Although the rash had the qualities of herpes zoster, the distribution was not dermatomal in nature; instead, it crossed multiple dermatomes. The initial presentation was suspicious for disseminated herpes zoster because of its clinical presentation and her clinical history. A more extensive examination revealed the patient had monodermatomal herpes zoster masquerading as disseminated herpes zoster secondary to her TRAM flap procedure whereby the nerves were realigned and created this pseudodisseminated appearance of the rash.     

Recurrent herpes zoster in a child with SLE

A 12-year-old girl had systemic lupus erythematosus (SLE) and type IV lupus nephritis since three-and-a-half years. She was treated with prednisolone and cyclophosphamide. She had first attack of herpes zoster (HZ) involving eighth and ninth thoracic segments on right side at the age of nine years. Second attack occurred on the same segments on same side at the age of twelve years. The second attack of herpes zoster was treated with oral acyclovir 400 mg five times a day for seven days plus analgesics and multi-vitamins. Most probably this is the first case of recurrent herpes zoster (RHZ) in a child in Indian literature.     

Localized linear IgA dermatosis induced by UV light-treatment for herpes zoster

We report a case of localized linear IgA dermatosis (LID). The patient suffered from herpes zoster on the right waist and received three localized ultraviolet (UV) light treatments. One month later he presented with bullae on the same site. Direct immunofluorescence showed deposition of linear IgA and weak C3 along the basement membrane zone. Indirect immunofluorescence on the salt-split human skin demonstrated that IgA antibodies were bound to the epidermal side. To our knowledge, this is the first case of localized LID induced by UV light treatment for herpes zoster. It is also the third case of LID induced by UV light.     

类风湿性嗜中性皮炎

报告1例类风湿性嗜中性皮炎.患者女,60岁.因腰腹部风团样红斑、丘疹及结节伴瘙痒1个月就诊.患者有10年类风湿关节炎病史,类风湿因子阳性.皮肤科检查:腰、背、腹部密集红色或肤色丘疹、结节,或风团样红斑,直径2～4mm,未见糜烂、坏死及结痂.皮损组织病理检查:真皮中性粒细胞呈带状浸润,核尘明显,无血管炎改变.10d后皮损自行消退.     

肺癌术后放化疗并发泛发性带状疱疹1例

报告１例６０岁男性患者，３周前右季肋区出现疼痛性水疱，２周前皮损全身泛发，伴高热。患者１年前行右肺癌根治术，术后一直接受Ｘ线放射治疗和化疗，此次皮损播散发生于例行化疗的第２ｄ，提示发病与肿瘤放化疗造成的免疫抑制相关。治疗应及时给予大剂量无环鸟苷和支持疗法。     

Multisegmental herpes zoster in an immunocompetent girl

Children infrequently are afflicted with herpes zoster (HZ). Activation of latent varicella-zoster virus (VZV) in a partially immune host results in HZ. Herpes zoster in children can be benign or with varied severity, especially in cases associated with malignancy. Because of its rarity, we report widespread multisegmental HZ primarily presenting on the right side of the body and abdomen in a 6-year-old immunocompetent girl.     

带状疱疹继发Wolf′s同位反应2例

 报告2例带状疱疹继发Wolf′s同位反应。患者1,女,55岁,右侧腰腹部红斑、丘疹伴瘙痒半个月。半个月前,患者右侧腰腹部带状疱疹治愈后皮损愈合部位出现红斑、丘疹,伴瘙痒,结合皮损组织病理、病史及临床表现,诊断为带状疱疹继发湿疹Wolf′s同位反应。患者2,男,41岁,左侧腰背部红斑、丘疹伴瘙痒20 d。20 d前,患者左侧腰背部带状疱疹治愈后,原发皮损遗留色素沉着部位出现红斑、丘疹,结合皮损组织病理、病史及临床表现,最终诊断为带状疱疹继发扁平苔藓Wolf′s同位反应。     

Case of herpes zoster duplex bilateralis

Non-contiguously simultaneous development of herpes zoster is very rare. It is named either herpes zoster duplex unilateralis or bilaterarlis, depending on whether one or both sides of the body are involved. Herein, we report a 21-year-old man, who had been treated for ulcerative colitis with prednisolone, and presented with painful grouped vesicles of the lower abdomen and back in a relatively symmetrical distribution. A Tzanck smear and punch biopsy were performed on the vesicles of the back. We report a rare case of symmetrical herpes zoster duplex bilateralis.     

妊娠期、围生期带状疱疹25例临床分析

【摘要】 目的 探讨妊娠期、围生期带状疱疹的临床特征、治疗及预后。方法 收集2011年1月至2020年12月郑州大学第一附属医院住院治疗的妊娠期、围生期带状疱疹患者的临床资料，回顾分析临床特征、治疗及预后情况。结果 纳入25例，其中妊娠期22例（孕10 ~ 38周，孕早期1例、孕中期13例、孕晚期8例），产后1周内3例；年龄22 ~ 37岁，病程2 ~ 9 d。临床表现：皮疹位于头面部8例，胸背部5例，腰腹部7例，上肢1例，下肢3例，会阴1例，3例为播散性带状疱疹。皮疹形态均为红斑、丘疱疹、水疱，其中4例合并血疱，3例合并大疱，6例合并糜烂、渗出；5例发热，7例轻度、6例中度、11例重度疼痛。治疗：16例妊娠期、3例产后患者进行抗病毒治疗（口服或静脉滴注阿昔洛韦、单磷酸阿糖腺苷、膦甲酸钠氯化钠注射液），24例应用营养神经药物，1例妊娠期患者、3例产妇进行镇痛治疗，其他治疗包括抗感染、湿敷、红光照射等。预后：1例妊娠期患者早产，其余妊娠期患者均足月生产，新生儿无异常。3例妊娠期患者出现后遗症，1例为疼痛，2例为瘙痒。结论 本文25例妊娠期、围生期带状疱疹的治疗未观察到对胎儿、新生儿有明显影响。     

Isolated double herpes zoster paresis involving the left facial nerve and the right peroneal nerve following disseminated herpes zoster

A 72-year-old Japanese male developed disseminated herpes zoster and could not easily walk due to right drop foot and pain. He soon developed numbness and pain on the left side of his face, and noticed difficulty closing his left eye. The left angle of his mouth dropped. The patient was diagnosed as having a double mononeuropathy (a left facial nerve paresis and a right peroneal nerve paresis) following disseminated herpes zoster. Given that the patient was elderly and had diabetes mellitus, the patient appeared to be an immunocompromised host. We also describe other rare complications of herpes zoster from the published work.