Burkman K A, Gaines R W, Kashani S R, Smith R D
Department of PM&R, Rusk Rehabilitation Center, Columbia, MO 65212.
Arch Phys Med Rehabil. 1988 Feb;69(2):132-4.
Herpes zoster probably occurs more often than generally thought. Since it produces a radicular distribution of pain, it should be included in the differential diagnosis of radiculopathy. A case is presented in which evaluating the radicular low back pain before the characteristic rash appears was misleading. Careful history-taking concerning the exact nature of the pain and sensory changes is needed to differentiate between zoster and radiculopathy, if no rash is evident.
带状疱疹的发病率可能比普遍认为的更高。由于它会产生呈神经根分布的疼痛，因此在神经根病的鉴别诊断中应将其纳入考虑。本文报告了一例在特征性皮疹出现之前对神经根性腰痛进行评估会产生误导的病例。如果没有明显皮疹，需要仔细询问有关疼痛的确切性质和感觉变化的病史，以区分带状疱疹和神经根病。
