Appendix: Herpes Zoster Guideline1 of the German Dermatology Society (DDG)2

Gross, Gerd; Schöfer, Helmut; Wassilew, S. W.; Friese, Klaus; Timm, Angela; Guthoff, R.; Pau, Hans Wilhelm; Malin, J.‐P.; Wutzler, Peter; Doerr, H. W.

doi:10.1159/000096271

Cited by 71 publications

(105 citation statements)

References 31 publications

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“…The pain of the prodromal stage, 3-5 days before vesicular eruption 2,10) , can simulate odontogenic pain. Therefore if there is no convincing evidence of disease of the pulp, unnecessary treatment must be avoided.…”

Section: ⅲ Discussionmentioning

confidence: 99%

“…Herpes zoster (shingles) is caused by the reactivation of the latent varicella-zoster virus from a chickenpox infection 1) . Factors associated with recurrence are older age, immunocompromisation, stress, and tumors affecting the brain or spinal cord 2,3) . Herpes zoster may affect any sensory ganglia and its cutaneous nerve, including cranial nerves.…”

Section: ⅰ Introductionmentioning

confidence: 99%

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Clinical diagnosis of herpes zoster presenting as odontogenic pain

Yang

Jung

Lee

et al. 2008

J Korean Acad Conserv Dent

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Herpes zoster, an acute viral infection produced by the varicella zoster virus, may affect any of the trigeminal branches. This case report presents a patient with symptoms mimicking odontogenic pain. No obvious cause of the symptoms could be found based on clinical and radiographic examinations. After a dermatologist made a diagnosis of herpes zoster involving the third trigeminal branch, the patient was given antiviral therapy. Two months later, the facial lesions and pain had almost disappeared, and residual pigmented scars were present. During the diagnostic process, clinicians should keep in mind the possibility that orofacial pain might be related to herpes zoster. [J Kor Acad Cons Dent 33(5): [452][453][454][455][456] 2008]

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Section: ⅲ Discussionmentioning

confidence: 99%

Section: ⅰ Introductionmentioning

confidence: 99%

Clinical diagnosis of herpes zoster presenting as odontogenic pain

Yang

Jung

Lee

et al. 2008

J Korean Acad Conserv Dent

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“…He was treated with oral 125 mg brivudin (Zostex®) once daily for 7 days according to German guidelines for herpes zoster treatment. 2 During this period herpes zoster improved but a multiform, partly vesiculous, non-pruritic exanthematous rash developed ( Figs. 1 and 2).…”

Section: Case Reportmentioning

confidence: 99%

Herpes zoster - associated erythema multiforme

Wollina¹,

Gemmeke²

2009

J Dermatol Case Rep

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Background: Erythema multiforme is a cutaneous reaction that has only rarely been described in varicella zoster virus infection.Main observations: We describe a 76-year old immunocompetent male patient with thoracic herpes zoster. While treated with oral brivudin he developed a widespread cutaneous erythema multiforme. The lesions completely cleared with two weeks with systemic corticosteroids.Conclusion: Varicella zoster infections are possible triggers of erythema multiforme and this is the oldest patient reported with such an association. Brivudin itself has not been reported to induce erythema multiforme and is an unlikely cause of disease in our patient.

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“…Aciclovir has to be administered orally at a dosage of 5 x 800 mg or intravenously at a concentration of 3 x 10-15 mg/kg for 7-10 days. Zoster during pregnancy should only be treated with aciclovir in severe courses of the disease [58]. To date, there are no controlled studies concerning antiviral chemotherapy in preventing CVS [59].…”

Section: Diagnostic and Therapeutic Measuresmentioning

confidence: 99%

Review of varicella-zoster virus infections in pregnant women and neonates

Sauerbrei¹

2010

Health

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Even though varicella is rare in pregnancy, the disease can lead occasionally to disastrous illnesses for both the mother and her neonate. By contrast, normal zoster is not associated with special problems during pregnancy and perinatal period. Pregnant women, who contract varicella, are at risk of varicella pneumonia which must be regarded as medical emergency. At any stage during pregnancy, chickenpox may cause intrauterine infection. The consequences for the fetus depend on the time of maternal disease. During the first two trimesters, maternal varicella may result in congenital varicella syndrome which may occur in nearly 2%. Typical symptoms are skin lesions in dermatomal distribution, neurological defects, eye diseases, and skeletal anomalies. Maternal infection near term is associated with a substantial risk of intrauterine acquired neonatal chickenpox in the neonate. If the mother develops varicella rash between day 4 (5) ante partum and day 2 post partum, generalized neonatal varicella leading to death in about 20% of the cases has to be expected. The present paper reviews the clinical consequences and the currently available concepts of prevention, diagnosis, and therapy of varicella-zoster virus infections during pregnancy.

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Appendix: Herpes Zoster Guideline1 of the German Dermatology Society (DDG)2

Cited by 71 publications

References 31 publications

Clinical diagnosis of herpes zoster presenting as odontogenic pain

Clinical diagnosis of herpes zoster presenting as odontogenic pain

Herpes zoster - associated erythema multiforme

Review of varicella-zoster virus infections in pregnant women and neonates

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