Abdominal hernia following abdominal herpes zoster

We report a case of abdominal hernia in TIO and 11 segments following herpes zoster at T11 segment.     

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.     

Subcutaneous granuloma annulare following herpes zoster

A 57‐year‐old Korean man developed a papulovesicular eruption on the right chest with unilateral T2 dermatomal distribution; acute herpes zoster (HZ) was diagnosed. The past medical history revealed diabetes mellitus, but was otherwise noncontributory. His pain gradually subsided with treatment in the Pain Clinic of the Anesthesiology Department. Five months later, however, new skin lesions composed of several papules were detected at the site of the HZ scar. There were several discrete, nontender, firm, erythematous papules of about 0.8 cm in diameter on the right chest ( Fig. 1 ). Histologic examination revealed foci of necrobiotic collagen surrounded by a vague palisade of histiocytes in the deep dermis and subcutis ( Fig. 2 ). Mucin deposits were seen within the center of the palisaded granuloma and there were scattered multinucleated giant cells. Gram, Gomeri‐methenamine silver, and acid‐fast stains were negative. Polarizing microscopy did not reveal any material. Subcutaneous granuloma annulare at the HZ scar was diagnosed, and intralesional injections of triamcinolone caused flattening of the papules after 4 weeks of follow‐up.

Figure 1 Open in figure viewer PowerPoint Skin examination revealed several discrete, nontender, firm, erythematous papules of about 0.8 cm in diameter on the right upper chest (T2 dermatome)     

Reflex sympathetic dystrophy syndrome following herpes zoster

Reflex sympathetic dystrophy syndrome (RSDS), or algodystrophy, is a poorly understood, painful syndrome that consists of multiple symptoms, including vasomotor instability, swelling, and chronic pain involving an extremity. Although RSDS following herpes zoster is classically recognized, only a few well-documented cases of this complication have been reported to date. We present the case of a 63-year-old white woman with characteristic signs and symptoms of RSDS in the left upper limb that appeared 3 weeks after she had a typical herpes zona involving the left C5-C6 dermatomes. Early diagnosis and treatment with physiotherapy, intranasal salmon calcitonin, and oral calcium achieved a progressive improvement of the disease, which healed without sequelae in a brief time.     

带状疱疹引起腹壁假疝一例

患者男,59岁,带状疱疹3周、右腰腹部膨隆2周余于2018年9月23日就诊。患者3周前无明显诱因右腰腹部出现单侧、带状分布的红斑、水疱,伴阵发性疼痛,外院就诊后服用抗病毒药物（具体不明）治疗,皮损好转,疼痛缓解……     

带状疱疹同位反应及相关皮肤病

同位反应是在原有皮肤病治愈的基础上,在同一部位出现与原有疾病无关的另一种疾病的现象.此现象的发生虽然临床少见,但近年来,带状疱疹同位反应相关的皮肤病报道有增多趋势,且病种多样化,有慢性荨麻疹、扁平苔藓、环状肉芽肿、结节性痒疹、银屑病等.有关其发生机制目前尚不清楚,多数人认为,同位反应的发生可能与水痘-带状疱疹病毒感染改变了局部皮肤的免疫状态有关.     

带状疱疹同位反应及相关皮肤病

同位反应是在原有皮肤病治愈的基础上,在同一部位出现与原有疾病无关的另一种疾病的现象.此现象的发生虽然临床少见,但近年来,带状疱疹同位反应相关的皮肤病报道有增多趋势,且病种多样化,有慢性荨麻疹、扁平苔藓、环状肉芽肿、结节性痒疹、银屑病等.有关其发生机制目前尚不清楚,多数人认为,同位反应的发生可能与水痘-带状疱疹病毒感染改变了局部皮肤的免疫状态有关.     

Postherpetic abdominal pseudohernia: An uncommon complication of herpes zoster

Herpes zoster, a common inflammatory viral disease, results in several complications. Pain and sensory disorders are the main symptoms of herpes zoster. We reported a case of segmental abdominal zoster with progression to motor involvement and pseudohernia.     

带状疱疹后并发臂桡侧瘙痒症

报告1 例带状疱疹后并发臂桡侧瘙痒症.患者女,42 岁.左上肢肘外侧带状疱疹愈合后局部剧烈瘙痒,日光照射后瘙痒加剧,避光后可好转,体检除局部抓痕外,无其他皮损.口服抗组胺药和局部外用糖皮质激素制剂无效.     

带状疱疹后银屑病样同位反应一例

患者男,22岁。因左腹部皮疹1个月就诊于我院皮肤科。患者2个月前劳累后感低热2 d（具体体温不详）,随后左上腹、左季肋部、左背部出现带状沿肋间神经分布的群集红斑、丘疱疹及水疱,伴阵发性轻微针刺样痛感。外院诊为带状疱疹,予阿昔洛韦200 mg每日2次、维生素B1 10 mg每日3次、维生素B12 500 μg每日3次口服,治疗约10 d症状消失,皮损渐消退。患者来我院就诊前1个月,左腹部原带状疱疹皮损处出现红色丘疹、鳞屑,无痛痒等不适,未予重视。因皮疹持续1个月未消退前来就诊……     

Necrodestructive herpes zoster

Herpes Zoster (HZ) is a self-limiting viral infection of skin and mucosa caused by Varicella zoster virus. Cutaneous lesions of HZ usually heal without any scarring and hyper/hypopigmentation. Though, post-inflammatory depigmentation and deep scarring can occur in immunocompromised or HIV positive individuals. The present report is of a elderly immunocompetent female who had HZ involving the ophthalmic division (including nasociliary branch) of trigeminal nerve. The lesions over nose caused mutilating scarring resulting in complete obstruction of the right anterior nare.     

带状疱疹及后遗神经痛

带状疱疹是由潜伏在体内的水痘-带状疱疹病毒再次复发引起、主要影响中老年人的疾病.当带状疱疹的主要症状之一--神经痛持续时间超过疱疹临床治愈后的1个月时,称为带状疱疹后遗神经痛.该文主要从流行病学、发病机制、临床表现以及治疗方面对带状疱疹及后遗神经痛进行简要综述.