A study on clinical presentation of Herpes zoster in a district hospital in North India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 1
Abstract
Herpes zoster is an acute, painful, vesicular eruption distributed along a single dermatome and is associated with a prodrome of fever, malaise, headache, and pain in the dermatome. The vesicles typically crust and will heal within 2-6 weeks. The main aim is to study the clinical manifestations of patients of herpes zoster. In this the method was fifty patients suffering from herpes zoster were selected for the study. It was a randomized controlled prospective study. In results the Pain was seen in 90% patients, parasthesias were seen in 50% patients, insomnioa was seen in 20% patients, was seen in 90% patients was seen in 90% patients. PHN was seen in 80% patients with age more than 50 years. HIV positivity was seen in 4 (8%) patients. Regarding the dermatomal involvement it was seen that the thoracic dermatome was the commonest dermatome involved in 40% patients followed by trigeminal nerve segment in 36% patients, lumbar segment was involved in 16% patients, cervical dermatome was involved in 8% patients, was involved in 16% patients, cervicothoracic and thoracolumbar dermatomes were involved in 4% patients each. In conclusion the Patient education and counselling is very important, so that the patients can identify early eruptions and prodromal signs and symptoms and timely antiviral therapy can be instituted. Keywords: Herpes zoster; dermatome; virus; ganglion; nerve; pain
Authors and Affiliations
Dr. Neerja Puri
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