Absil G, Bouquiaux O, Wang F C, Kaux J F, Nikkels A F
Service de Dermatologie, CHU Liège, Belgique.
Service de Médecine Physique, CHU, Liège, Belgique.
Rev Med Liege. 2021 Nov;76(11):773-775.
Postherpetic neuralgia is the most feared complication of herpes zoster (HZ). The incidence increases with age. Nevertheless, around 5 % of HZ patients will experience a motor deficiency known as segmental zoster paresis (SZP) according to the affected dermatome. Abdominal pseudohernia is an exceptional clinical presentation of SZP, involving the T6-L1 dermatomas. The recognition of this rare complication of HZ prevents unnecessary explorations and interventions. There is no specific treatment but in general the evolution is favorable and spontaneous healing is observed within several months.
带状疱疹后神经痛是带状疱疹(HZ)最可怕的并发症。发病率随年龄增长而增加。然而,根据受影响的皮节,约5%的HZ患者会出现一种称为节段性带状疱疹性轻瘫(SZP)的运动功能障碍。腹部假性疝是SZP的一种特殊临床表现,累及T6-L1皮节。认识到HZ的这种罕见并发症可避免不必要的探查和干预。目前尚无特效治疗方法,但总体而言病情发展良好,数月内可观察到自然愈合。