Cevik Işin Unal
Harvard Medical School, Massachusetts General Hospital, Pain Center, Boston, MA 02114, USA.
Agri. 2004 Jul;16(3):17-24.
Following chicken pox infection, varicella-zoster virus stays as a latent infection in sensory root ganglia. After many years, the reactivation of this latent virus in sensory ganglia causes "herpes zoster". Herpes zoster (shingles) is an unilateral, dermatomal, localised, painful, vesicular, and contagious skin infection. In elderly and immunocompromised patients, shingles can cause complications such as postherpetic neuralgia (PHN) and direct central nervous system invasion. Early intervention with antiviral treatment, analgesic therapy and antidepressant therapy may reduce the risk of these complications. The treatment of PHN is same as for other neuropathic pain syndromes. The clinical importance of PHN is due to the severity and chronicity of pain which is usually not responsive to many treatments, and quality of life may be adversely affected by PHN.
水痘感染后,水痘-带状疱疹病毒以潜伏感染的形式留存于感觉神经节。多年后,这种潜伏在感觉神经节中的病毒重新激活会引发“带状疱疹”。带状疱疹是一种单侧、沿皮节分布、局限性、疼痛性、水疱性且具有传染性的皮肤感染。在老年人和免疫功能低下的患者中,带状疱疹可引发如带状疱疹后神经痛(PHN)和直接侵犯中枢神经系统等并发症。早期采用抗病毒治疗、镇痛治疗和抗抑郁治疗可能会降低这些并发症的风险。PHN的治疗与其他神经性疼痛综合征相同。PHN的临床重要性在于疼痛的严重性和慢性,通常对多种治疗无反应,且生活质量可能会受到PHN的不利影响。