Morgan R, King D
Department of Geriatric Medicine, Arrowe Park Hospital, Wirral, Merseyside, UK.
Postgrad Med J. 1998 Feb;74(868):101-3. doi: 10.1136/pgmj.74.868.101.
Little is known about why some patients with shingles are admitted to hospital. We reviewed 72 case notes from a list of 80 patients admitted to hospital with shingles over a six-year period. Pain was the main complaint of the patients admitted, most of whom were elderly and lived alone. The commonest site of involvement in hospital admissions was the eye (herpes zoster ophthalmicus). Diagnosis of shingles was made after admission in 12 patients, eight of whom had originally been diagnosed as having an acute medical or surgical condition. We conclude that the prodromal phase of shingles may lead to misdiagnosis.
对于为何有些带状疱疹患者会住院，人们了解甚少。我们回顾了80例在六年期间因带状疱疹住院的患者名单中的72份病例记录。疼痛是住院患者的主要诉求，其中大多数患者为老年人且独居。住院病例中最常受累的部位是眼睛（眼部带状疱疹）。12名患者在入院后才被诊断为带状疱疹，其中8人最初被诊断为患有急性内科或外科疾病。我们得出结论，带状疱疹的前驱期可能会导致误诊。
