Johnson Julie L, Amzat Rianot, Martin Nicolle
Department of Family and Preventive Medicine, Emory University School of Medicine, 4500 North Shallowford Road, Suite B, Atlanta, GA 30338, USA.
Department of Family and Preventive Medicine, Emory University School of Medicine, 4500 North Shallowford Road, Suite B, Atlanta, GA 30338, USA.
Prim Care. 2015 Sep;42(3):285-303. doi: 10.1016/j.pop.2015.05.007.
Herpes zoster is a commonly encountered disorder. It is estimated that there are approximately 1 million new cases of herpes zoster in the United States annually, with an incidence of 3.2 per 1000 person-years. Patients with HIV have the greatest risk of developing herpes zoster ophthalmicus compared with the general population. Other risk factors include advancing age, use of immunosuppressive medications, and primary infection in infancy or in utero. Vaccination against the virus is a primary prevention modality. Primary treatments include antivirals, analgesics, and anticonvulsants. Management may require surgical intervention and comanagement with pain specialists, psychiatrists, and infectious disease specialists.
带状疱疹是一种常见疾病。据估计,美国每年约有100万例带状疱疹新发病例,发病率为每1000人年3.2例。与普通人群相比,艾滋病病毒感染者发生眼部带状疱疹的风险最高。其他风险因素包括年龄增长、使用免疫抑制药物以及婴儿期或子宫内的原发性感染。接种针对该病毒的疫苗是一种主要的预防方式。主要治疗方法包括抗病毒药物、镇痛药和抗惊厥药。治疗可能需要手术干预,并与疼痛专科医生、精神科医生和传染病专科医生共同管理。