Herpes zoster

From greek.doctor
  • 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
    • Diagnosis
      • Clinical -> characteristic rash
    • Treatment
      • Wet dressing with aluminium acetate
      • 5 x 800mg acyclovir for 10 days
      • NSAIDs