Kestelyn P, Stevens A M, Bakkers E, Rouvroy D, Van de Perre P
Centre Hospitalier de Kigali, Rwanda.
Br J Ophthalmol. 1987 Nov;71(11):806-9. doi: 10.1136/bjo.71.11.806.
This report proves the relationship between herpes zoster ophthalmicus and seropositivity for HTLV-III in young and often apparently healthy African patients. The ophthalmologist should screen patients with herpes zoster ophthalmicus for antibodies against HTLV-III in areas where this virus is endemic or if the patient belongs to a known risk group. If the test is positive, the patient should be instructed about the infectious nature of his condition to prevent spread of this sexually transmitted disease. As the rate of corneal involvement and postherpetic neuralgia are very high in these patients, it would be worthwhile to ascertain whether routine use of acyclovir treatment in HTLV-III seropositive patients with herpes zoster has a beneficial effect on these complications.
本报告证实了在年轻且看似健康的非洲患者中，眼带状疱疹与人类嗜T淋巴细胞病毒III型（HTLV - III）血清阳性之间的关系。在该病毒流行地区，或者患者属于已知风险群体时，眼科医生应对眼带状疱疹患者进行HTLV - III抗体筛查。如果检测呈阳性，应告知患者其病情的传染性，以防止这种性传播疾病的传播。由于这些患者角膜受累和带状疱疹后神经痛的发生率非常高，因此有必要确定对HTLV - III血清阳性的带状疱疹患者常规使用阿昔洛韦治疗是否对这些并发症有有益影响。
