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表现为假性疝的下胸段节段性带状疱疹性轻瘫——三例报告

Segmental Zoster Paresis of Lower Thoracic Segment Presenting as Pseudohernia-A Report of Three Cases.

作者信息

Shastry Veeranna, Ranugha P S S, Vinutha R, Pratheeksha S

机构信息

Department of Dermatology, Venereology and Leprosy, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.

出版信息

Indian Dermatol Online J. 2021 Feb 22;12(2):324-326. doi: 10.4103/idoj.IDOJ_223_20. eCollection 2021 Mar-Apr.

DOI:10.4103/idoj.IDOJ_223_20
PMID:33959535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8088169/
Abstract

Segmental zoster paresis is characterized by focal motor weakness affecting the myotome corresponding to the dermatomal distribution of the rash. Clinically, it presents as pseudohernia when it involves abdominal wall muscles. We report three cases of segmental zoster paresis presenting as pseudohernia of abdominal wall. All patients developed asymptomatic bulge in anterolateral side of abdomen between 10 and 15 days after appearance of vesicles. All patients developed post-herpetic neuralgia. One patient developed pseudo-obstruction of colon due to visceral involvement. Segmental zoster paresis of lower thoracic spinal segment often goes unnoticed due to its asymptomatic nature.

摘要

节段性带状疱疹性轻瘫的特征是局灶性运动无力，影响与皮疹皮节分布相对应的肌节。临床上，当累及腹壁肌肉时表现为假疝。我们报告3例表现为腹壁假疝的节段性带状疱疹性轻瘫病例。所有患者在出现水疱后10至15天，腹部前外侧出现无症状性隆起。所有患者均发生了疱疹后神经痛。1例患者因内脏受累发生了结肠假性梗阻。下胸段脊髓节段的节段性带状疱疹性轻瘫因其无症状性常未被注意到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/5069cb0fcb5f/IDOJ-12-324-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/e7aa9354fbdc/IDOJ-12-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/7a72c3cd32d5/IDOJ-12-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/5069cb0fcb5f/IDOJ-12-324-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/e7aa9354fbdc/IDOJ-12-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/7a72c3cd32d5/IDOJ-12-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/8088169/5069cb0fcb5f/IDOJ-12-324-g003.jpg

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本文引用的文献

1
Abdominal Wall Herniation after Herpes Zoster.带状疱疹后腹壁疝
Indian Dermatol Online J. 2018 Jul-Aug;9(4):278-279. doi: 10.4103/idoj.IDOJ_224_17.
2
Segmental zoster abdominal paresis (zoster pseudohernia): a review of the literature.节段性带状疱疹腹部瘫痪（带状疱疹假性疝）：文献复习。
PM R. 2013 Sep;5(9):786-90. doi: 10.1016/j.pmrj.2013.05.013.
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Abdominal hernia following abdominal herpes zoster.腹部带状疱疹后出现的腹疝。
Indian J Dermatol Venereol Leprol. 2001 Jan-Feb;67(1):39-40.
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Abdominal wall protrusion following herpes zoster.带状疱疹后腹壁突出。
Rev Soc Bras Med Trop. 2007 Mar-Apr;40(2):234-5. doi: 10.1590/s0037-86822007000200018.
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Self-limiting abdominal wall herniation and constipation following herpes zoster infection.
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