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一名老年男性无痛性带状疱疹的非典型表现:病例报告

Atypical Presentation of Painless Herpes Zoster in an Elderly Male: A Case Report.

作者信息

Barakat Salim, Dankar Razan, Aldalahmeh Mohammad, Barakat Mohammad, Mobarakai Neville

机构信息

Internal Medicine, Staten Island University Hospital, Staten Island, USA.

Medicine, Lebanese University, Beirut, LBN.

出版信息

Cureus. 2024 Dec 12;16(12):e75599. doi: 10.7759/cureus.75599. eCollection 2024 Dec.

Abstract

Shingles, also known as herpes zoster, is a reactivation of the chickenpox virus that causes a painful, blistering rash. After a chickenpox infection, the virus lies dormant in nerve cells. When reactivated, usually in older adults or those with weakened immune systems, it travels along nerves, typically affecting a single strip of skin called a dermatome. Shingles usually presents as a painful, one-sided rash that may involve nerves in the head, face, and body. While it typically resolves on its own, it can lead to complications, especially in older adults. Antiviral medications are effective in reducing the severity and duration of shingles and should be started as soon as the rash appears. This report describes an unusual case of an elderly patient who developed shingles on their face after a wound, notably without experiencing any pain.

摘要

带状疱疹,又称单纯疱疹,是水痘病毒的重新激活,会引发疼痛的水疱性皮疹。水痘感染后,病毒潜伏在神经细胞中。当病毒重新激活时,通常发生在老年人或免疫系统较弱的人身上,它会沿着神经传播,通常影响一条称为皮节的皮肤带。带状疱疹通常表现为疼痛的单侧皮疹,可能累及头部、面部和身体的神经。虽然它通常会自行痊愈,但可能会导致并发症,尤其是在老年人中。抗病毒药物在减轻带状疱疹的严重程度和持续时间方面有效,应在皮疹出现后尽快开始使用。本报告描述了一例不寻常的病例,一名老年患者在受伤后脸上出现带状疱疹,值得注意的是没有任何疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c811/11724741/51613d204d73/cureus-0016-00000075599-i01.jpg

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