一例人类免疫缺陷病毒感染最初表现为播散性带状疱疹。
A case of human immunodeficiency virus infection initially presented with disseminated herpes zoster.
作者信息
Shin Bong Seok, Na Chan Ho, Song In Guk, Choi Kyu Chul
机构信息
Department of Dermatology, School of Medicine, Chosun University, Gwangju, Korea.
出版信息
Ann Dermatol. 2010 May;22(2):199-202. doi: 10.5021/ad.2010.22.2.199. Epub 2010 May 18.
Abstract
Herpes zoster is characterized by unilateral grouped vesicles along the distribution of a single dermatome. Disseminated herpes zoster usually is defined as a generalized eruption of more than 20 extra-dermatomal vesicles occurring within a week of the onset of classic dermatomal herpes zoster. It occurs chiefly in old or debilitated individuals, and especially in patients with underlying malignancy, immunosuppressive therapy, or human immunodeficiency virus (HIV) infection. A 51-year-old man presented with segmental grouped vesicles on the left upper trunk and arm, and a varicella-like eruption over the entire body. Tzanck smear preparation and punch biopsy done on the vesicles of the trunk indicated a herpetic infection. Later, he was found to be HIV-positive. We report a rare case of HIV infection initially presenting with disseminated herpes zoster.
摘要
带状疱疹的特征是沿单一皮节分布出现单侧成簇水疱。播散性带状疱疹通常定义为在经典皮节性带状疱疹发病一周内出现20个以上皮节外水疱的全身性皮疹。它主要发生在老年人或身体虚弱者中，尤其是患有潜在恶性肿瘤、接受免疫抑制治疗或感染人类免疫缺陷病毒（HIV）的患者。一名51岁男性，左上躯干和手臂出现节段性成簇水疱，全身出现水痘样皮疹。对躯干水疱进行的Tzanck涂片检查和打孔活检显示为疱疹感染。后来，他被发现HIV呈阳性。我们报告一例罕见的以播散性带状疱疹为首发表现的HIV感染病例。
相似文献
1
A case of human immunodeficiency virus infection initially presented with disseminated herpes zoster.一例人类免疫缺陷病毒感染最初表现为播散性带状疱疹。
Ann Dermatol. 2010 May;22(2):199-202. doi: 10.5021/ad.2010.22.2.199. Epub 2010 May 18.
2
Genital Herpes Zoster as Possible Indicator of HIV Infection.生殖器带状疱疹可能是艾滋病毒感染的指标。
Acta Dermatovenerol Croat. 2018 Dec;26(4):337-338.
3
Study of clinical profile of herpes zoster in human immunodeficiency virus positive and negative patients at a rural-based tertiary care center, Gujarat.古吉拉特邦一家农村三级医疗中心对人类免疫缺陷病毒阳性和阴性患者带状疱疹临床特征的研究。
Indian J Sex Transm Dis AIDS. 2017 Jan-Jun;38(1):65-68. doi: 10.4103/0253-7184.203440.
4
Edema Bullae Mimicking Disseminated Herpes Zoster.酷似播散性带状疱疹的水肿性大疱
Cureus. 2017 Oct 17;9(10):e1780. doi: 10.7759/cureus.1780.
5
Non-dermatomal varicella-zoster skin infection: disseminated cutaneous herpes zoster without dermatome in an immunosuppressed woman.非皮节性水痘-带状疱疹皮肤感染：一名免疫抑制女性发生的无皮节分布的播散性皮肤带状疱疹。
Dermatol Online J. 2017 Oct 15;23(10):13030/qt36j330n5.
6
An adult co-presented with varicella and herpes zoster caused by varicella zoster virus genotype J, China: a case report.中国一例成人水痘和由水痘带状疱疹病毒基因型 J 引起的带状疱疹共同发生的病例报告。
BMC Infect Dis. 2020 Jun 29;20(1):454. doi: 10.1186/s12879-020-05192-3.
7
Varicella zoster virus encephalitis in a patient with disseminated herpes zoster: report and review of the literature.一名播散性带状疱疹患者的水痘-带状疱疹病毒脑炎：病例报告及文献复习
Dermatol Online J. 2014 Dec 14;21(3):13030/qt3wm6k85h.
8
Varicella-Zoster Virus Encephalitis in an Immunocompetent Adult with Disseminated Cutaneous Herpes Zoster after Testosterone Booster Supplements: Case Report.睾酮增强补充剂后出现播散性皮肤带状疱疹的免疫功能正常成人患水痘-带状疱疹病毒脑炎：病例报告
Case Rep Dermatol. 2022 Jun 27;14(2):164-168. doi: 10.1159/000525252. eCollection 2022 May-Aug.
9
Bullous Herpes Zoster in a Lupus Nephritis Patient Treated with Rituximab: A Case Report.利妥昔单抗治疗狼疮性肾炎患者并发大疱性带状疱疹：一例报告
Acta Med Philipp. 2024 Sep 30;58(17):69-73. doi: 10.47895/amp.v58i17.7495. eCollection 2024.
10
Case of disseminated vesicles of herpes zoster developing one day before the onset of local eruption in a hospitalized immunocompromised patient.一名住院免疫功能低下患者，在局部皮疹出现前一天发生播散性带状疱疹水疱的病例。
Tokai J Exp Clin Med. 2013 Jul 20;38(2):52-4.
引用本文的文献
1
Death Caused by Disseminated Herpes Zoster in a Patient with Multiple Myeloma: A Case Report and Literature Review.多发性骨髓瘤患者因播散性带状疱疹死亡：一例报告及文献复习
Clin Cosmet Investig Dermatol. 2024 Apr 27;17:941-951. doi: 10.2147/CCID.S464039. eCollection 2024.
2
Disseminated Herpes Zoster with Decreased CD4 Counts in a HIV-Infected Patient.一名HIV感染患者出现播散性带状疱疹且CD4细胞计数降低
Clin Cosmet Investig Dermatol. 2023 Nov 2;16:3165-3170. doi: 10.2147/CCID.S429308. eCollection 2023.
3
Herpes Zoster in Four HIV Seropositive Patients and One Patient With Recurrent Carcinoma After Radiotherapy.4例HIV血清阳性患者及1例放疗后复发性癌患者的带状疱疹
Cureus. 2022 Feb 5;14(2):e21922. doi: 10.7759/cureus.21922. eCollection 2022 Feb.
4
Skin Disease in Korean Human Immunodeficiency Virus Patient.韩国人类免疫缺陷病毒患者的皮肤病
Ann Dermatol. 2019 Dec;31(6):640-644. doi: 10.5021/ad.2019.31.6.640. Epub 2019 Oct 31.
5
Successful management of visceral disseminated varicella zoster virus infection during treatment of membranous nephropathy: a case report.成功治疗膜性肾病期间并发内脏播散性水痘带状疱疹病毒感染的管理：一例报告。
BMC Infect Dis. 2019 Jul 15;19(1):625. doi: 10.1186/s12879-019-4193-y.
6
Fatal visceral disseminated varicella zoster infection during initial remission induction therapy in a patient with lupus nephritis and rheumatoid arthritis-possible association with mycophenolate mofetil and high-dose glucocorticoid therapy: a case report.狼疮性肾炎和类风湿关节炎患者在初始缓解诱导治疗期间发生致命性内脏播散性水痘带状疱疹感染——可能与霉酚酸酯和大剂量糖皮质激素治疗有关：一例病例报告
BMC Res Notes. 2018 Mar 5;11(1):165. doi: 10.1186/s13104-018-3271-3.
7
Frequency of Herpes Zoster Recurrence in Central District of Korea.韩国中部地区带状疱疹复发频率
Ann Dermatol. 2017 Oct;29(5):602-607. doi: 10.5021/ad.2017.29.5.602. Epub 2017 Aug 25.
8
Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific.回首往昔，展望未来：亚太地区带状疱疹二十年审计报告
BMC Infect Dis. 2017 Mar 15;17(1):213. doi: 10.1186/s12879-017-2198-y.
9
Post-herpetic Neuralgia: a Review.带状疱疹后神经痛：综述
Curr Pain Headache Rep. 2016 Mar;20(3):17. doi: 10.1007/s11916-016-0548-x.
10
Disseminated Cutaneous Herpes Zoster in a Patient with Uncontrolled Diabetes Mellitus.一名糖尿病控制不佳患者的播散性皮肤带状疱疹
J Clin Diagn Res. 2015 Jul;9(7):WD01-2. doi: 10.7860/JCDR/2015/12242.6240. Epub 2015 Jul 1.
本文引用的文献
1
Case of herpes zoster duplex bilateralis.双侧带状疱疹双发型病例。
J Dermatol. 2009 Feb;36(2):95-7. doi: 10.1111/j.1346-8138.2009.00596.x.
2
A rare case of disseminated shingles in an immunocompetent patient following a 7-day treatment with oral valacyclovir.一名免疫功能正常的患者在接受口服伐昔洛韦7天治疗后出现罕见的播散性带状疱疹病例。
J Clin Virol. 2008 Oct;43(2):233-5. doi: 10.1016/j.jcv.2008.06.018. Epub 2008 Sep 3.
3
Herpes zoster with dissemination.播散性带状疱疹
Indian Pediatr. 2006 Apr;43(4):353-6.
4
A rare case of disseminated cutaneous zoster in an immunocompetent patient.一例免疫功能正常患者发生播散性皮肤带状疱疹的罕见病例。
BMC Fam Pract. 2005 Dec 14;6:50. doi: 10.1186/1471-2296-6-50.
5
Herpes zoster and HIV infection in Tanzania.坦桑尼亚的带状疱疹与艾滋病毒感染
Int J STD AIDS. 2000 Apr;11(4):254-6. doi: 10.1258/0956462001915804.
6
Varicella zoster virus.水痘带状疱疹病毒
J Am Acad Dermatol. 1999 Jul;41(1):1-14; quiz 15-6. doi: 10.1016/s0190-9622(99)70398-1.
7
Herpes zoster in seven disparate dermatomes (zoster multiplex): report of a case and review of the literature.七处不同皮节的带状疱疹（多发性带状疱疹）：一例报告及文献复习
J Am Acad Dermatol. 1999 May;40(5 Pt 2):868-9. doi: 10.1053/jd.1999.v40.a96944.
8
Disseminated herpes zoster in a pregnant woman positive for human immunodeficiency virus.一名人类免疫缺陷病毒检测呈阳性的孕妇发生播散性带状疱疹。
Am J Perinatol. 1993 Nov;10(6):463-4. doi: 10.1055/s-2007-994633.
9
A molecular and cellular model to explain the differences in reactivation from latency by herpes simplex and varicella-zoster viruses.一种用于解释单纯疱疹病毒和水痘-带状疱疹病毒潜伏再激活差异的分子和细胞模型。
Neuropathol Appl Neurobiol. 1994 Aug;20(4):368-74. doi: 10.1111/j.1365-2990.1994.tb00982.x.
10
Disseminated herpes zoster in patients with human immunodeficiency virus infection.人类免疫缺陷病毒感染患者的播散性带状疱疹
Am J Med. 1988 Jun;84(6):1076-80. doi: 10.1016/0002-9343(88)90315-4.
Zotero 插件