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伴有皮肤播散的带状疱疹:儿童罕见的不常见病理表现。

Herpes zoster with cutaneous dissemination: a rare presentation of an uncommon pathology in children.

作者信息

Faria Catarina, Antunes Ana, Antunes Henedina, Carvalho Susana

机构信息

Department of Pediatrics, Hospital de Braga, Braga, Portugal.

Life and Health Sciences Research Institute (ICVS), School of Health Sciences; ICVS/3B's-PT Government Associate Laboratory, Universidade do Minho, Braga/Guimarães, Portugal.

出版信息

BMJ Case Rep. 2018 Jun 12;2018:bcr-2018-225355. doi: 10.1136/bcr-2018-225355.

Abstract

Herpes zoster, caused by varicella zoster virus (VZV) reactivation, affects mainly the adult population, although it can occur in children. This happens when primary infection (varicella) has occurred at a very young age or in immunocompromised patients. Complications are rare in healthy individuals. They include VZV cutaneous dissemination, which affects 2%-10% of immunocompromised patients.We present a previously healthy child, with history of varicella during her first month of life, which presented at age 8 with a severe case of herpes zoster, complicated with cutaneous dissemination. Immunity study was unremarkable. Causes, management and follow-up are discussed.

摘要

带状疱疹由水痘-带状疱疹病毒(VZV)再激活引起,主要影响成人,但也可能发生在儿童身上。这种情况发生在极幼年时发生原发性感染(水痘)或免疫功能低下的患者身上。健康个体中并发症很少见。并发症包括VZV皮肤播散,影响2%-10%的免疫功能低下患者。我们报告一名既往健康的儿童,在出生后第一个月患过水痘,8岁时出现严重的带状疱疹病例,并伴有皮肤播散。免疫研究无异常。本文讨论了病因、治疗和随访情况。

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本文引用的文献

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Recommendations for the management of herpes zoster.带状疱疹管理建议。
Clin Infect Dis. 2007 Jan 1;44 Suppl 1:S1-26. doi: 10.1086/510206.
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Herpes zoster with dissemination.播散性带状疱疹
Indian Pediatr. 2006 Apr;43(4):353-6.
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Varicella, herpes zoster and dissemination.水痘、带状疱疹及播散
Pediatr Infect Dis J. 2003 Mar;22(3):295-6. doi: 10.1097/01.inf.0000057439.70183.c1.

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