Herpes zoster
- Shingles (herpes zoster)
- Reactivation
- Older patients
- Triggers
- Immunosuppression
- Advanced age
- Malignancy
- Malnutrition
- Clinical features
- Erupts in dermatome pattern
- Severe pain
- Erythematous maculopapular rash -> vesicles -> rupture
- Complications
- Herpes zoster oticus
- Herpes in facial and vestibulocochlear nerve
- Blindness
- Herpes zoster ophthalmicus
- Herpes in ophthalmic part of trigeminal nerve
- Facial paresis
- SN hearing loss
- Post-herpetic neuralgia
- Herpes zoster encephalitis
- Herpes zoster oticus
- Diagnosis
- Clinical -> characteristic rash
- Treatment
- Wet dressing with aluminium acetate
- 5 x 800mg acyclovir for 10 days
- NSAIDs