Wednesday, June 12, 2013

HERPES ZOSTER


                                      HERPES ZOSTER


 
- Cause: varicella zoster virus
- Primary infection varicella
-
Reactivation of latent virus herpes zoster
- Predisposing factors:
1. longevity
2. patients with malignancy
3. radiotherapy
4. Immunosuppressive / chemotherapeutic
- More on the elderly > 40 years, male / female

CLINICAL
- Prodormal: itching / pain in dermatomes to be attacked, heat, headache, MALISE
- Eruption : papules vesicles bula pustules crusting dekrustasi
- New lesions can occur within 1 week, healed in 2-3 weeks.

CHARACTERISTICS OF LESIONS
- Lesions forming hordes
- Among hordes normal skin
- Age lesion in 1 hordes the same but in contrast to other horde.
- Unilateral, according to dermatome / persyarafan particular, do not cross the line of the body Tengan

Most often in the body H.Z. thoracic
On the forehead H.Z. Opthalmikus

THAT MAKES IT DIFFICULT
- Secondary infection
- Post herpetic neuralgia
- keratoconjunctivitis
- Ramsay Hunt Syndrome
- Generalized Herpes Zoster

MANAGEMENT
- Symptomatic analgesics, antihistamines
- Secondary infection antibiotic
- Antivirus
- Local powder when dry lesions
                 Lesions wet compress


 
 
 
 
 




1 comment:

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