A clinical profile of patients with Herpes Zoster in a Tertiary care centre in South India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Introduction Herpes zoster, zoster meaning “girdle” suggests segmental distribution. It is caused by reactivation of Varicella zoster virus, which lies dormant in sensory ganglia. It is characterized by unilateral radicular pain with vesiculobullous eruptions along the dermatomal innervation . Its incidence & pattern in this era of HIV is significant .we undertake this study to assess the incidence, pattern & evolution of Herpes zoster along with associated co-morbidities if present. Materials An analytical study for 6 months was conducted based on a proforma containing preliminary information, clinical evaluation regarding the segment involved, morphology,pattern, complications, disseminations, comorbidities and investigations to establish provocative factors if present . Results & Conclusion Incidence of herpes zoster was mainly in the third and fourth decades of life .A past history of chicken pox was present in 56% cases.In 28% cases ,co-morbidities like Psoriasis,Pemphigus vulgaris ,HIV,Diabetes mellitus were observed .The commonest segment affected was thoracic (48%) followed by cranial (24% ) and cervical (16%).46% of patients had complications like post herpetic neuralgia , depigmentation ,secondary infections & Ulceration.One patient had HIV infection as the provocative factor . In this era of increasing HIV prevalence, the incidence of herpes zoster has been on rise. It is imperative for clinicians to be familiar with the common morphologies, patterns and complications .Our study had significant proportion of patients with complications like post herpetic neuralgia,which lacks effective treatment and requires further research.
Authors and Affiliations
Deepa Fernandes, Ramesh Bhat M
Keywords
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