P474 : A case of herpes zoster after physical trauma

저작시기 2015.01 |등록일 2015.06.15 파일확장자어도비 PDF (pdf) | 1페이지 | 가격 1,000원
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발행기관 : 대한피부과학회 수록지정보 : 프로그램북(구 초록집) / 67권 / 1호
저자명 : ( Hyungrok Kim ) , ( Hyunjung Kwon ) , ( Youngil Kim ) , ( Inyong Kim ) , ( Kyungduck Park ) , ( Joonsoo Park ) , ( Hyun Chung )

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영어 초록

Herpes zoster is a viral disease caused by reactivation of varicella zoster virus(VZV) associated with advanced age, predisposing diseases, immunodeficiency, and mechanicaltrauma. The early diagnosis and prompt treatment of zoster-related symptoms with antiviral treatment or anti-neuropathic medications will have better outcomes and less sequelae. However, the zoster associated neuropathic pain on the traumatic site is often masked with nociceptive pain of tissue injury. A 61-year-old woman presented with erythematous patches and papules on her buttock for a week. It had been developed after slipping down and she complained of severe stabbing nature pain around the lesion. Physical examination revealed 5cm x 2.5cm sized coccygeal hemorrhagic bullae with multiple small vesicles around it. As there was an evidence of coccxygeal fracture on the radiological examination, she first thought that it was a post-traumatic complication such as friction blister. However, histopathological study showed multinucleated keratinocytes, intraepidermal vesicles, epidermal necrosis with ballooning degeneration and intranuclear inclusions, characteristic and confirmatory of an infection with VZV. Based on these clinical and histopathologic findings, she was diagnosed with herpes zoster occurring in S2 dermatome. Herein, we report this case as the proper treatment may be delayed when the zoster patient has a history of trauma on the affected skin lesion.

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      P474 : A case of herpes zoster after physical trauma
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