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三岁幼儿以播散性带状疱疹为首发表现的 HIV 感染 1 例。

A case of non-disseminated herpes zoster as the presenting sign of HIV in a 3-year-old.

机构信息

Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.

Section of Dermatology, Departments of Medicine and Pediatrics, University of Chicago Medical Center, Chicago, Illinois, USA.

出版信息

Pediatr Dermatol. 2022 Jul;39(4):653-654. doi: 10.1111/pde.14964. Epub 2022 Feb 25.

DOI:10.1111/pde.14964
PMID:35218072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9543074/
Abstract

Herpes zoster is rare in healthy and immunocompetent children. While disseminated presentations of zoster are often concerning for underlying immunodeficiency, non-disseminated zoster can also be a presenting illness in such patients. Here, we report a case of non-disseminated herpes zoster in a presumably healthy immunized child that led to a diagnosis of human immunodeficiency virus infection.

摘要

带状疱疹在健康和免疫功能正常的儿童中很少见。虽然带状疱疹的播散性表现通常提示潜在的免疫缺陷,但非播散性带状疱疹也可能是此类患者的首发疾病。在这里,我们报告了一例疑似健康免疫接种儿童的非播散性带状疱疹病例,该病例导致了人类免疫缺陷病毒感染的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f5/9543074/dc8f47b41841/PDE-39-653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f5/9543074/dc8f47b41841/PDE-39-653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89f5/9543074/dc8f47b41841/PDE-39-653-g001.jpg

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本文引用的文献

1
Epidemiology of pediatric herpes zoster after varicella infection: a population-based study.儿童水痘感染后患带状疱疹的流行病学:一项基于人群的研究。
Pediatrics. 2015 Mar;135(3):e565-71. doi: 10.1542/peds.2013-4037.
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儿童期复发性带状疱疹
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Herpes zoster in an HIV-positive 14-month-old baby.
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Clinical herpes zoster shortly following primary varicella in two HIV-infected children.
Clin Pediatr (Phila). 1989 Aug;28(8):354.