Clinical aspects of herpes zoster.

Haramoto, Izumi; Tsuchiya, M; Ikari, Yuko; Shibayama, Ritsuko; Aihara, Mariko; Chiba, Toshiko

doi:10.2336/nishinihonhifu.49.1077

Cited by 7 publications

(2 citation statements)

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“…Many of our findings were similar to those of previous reported studies (1)(2)(3)(4) in the following regards; age distribution, no monthly or seasonal trends and most commonly affected dermatome.…”

Section: Discussionsupporting

confidence: 92%

“…\ Cutaneus herpes zoster and its sequelae, post herpetic neuralgia, are common; in general, the incidence increases with age (1). Thoracic dermatomes are most frequently involved (1)(2)(3), and no monthly or seasonal predominance has been observed (1,3,4). Neurological complications other than sensory abnormalities such as encephalitis, myelitis, and various lower motor neuron syndromes such as polyradiculoneuritis and segmental radiculitis have been reported (2,5).…”

Section: Introductionmentioning

confidence: 99%

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Herpes Zoster Infection Complicated by Motor Paralysis

Akiyama

2000

The Journal of Dermatology

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We reviewed a total of 1,432 patients diagnosed with cutaneous herpes zoster at Hyogo College of Medicine Hospital between 1989 and 1997 for epidemiologic assessment and outcome in patients with zoster paralysis referred for rehabilitation. Of the 1,432 herpes zoster patients (624 males and 808 females, mean age 54.3 years), 12 were referred to our department of rehabilitation medicine for muscle weakness: one had myelitis, and eleven others had lower motor neuron damage. Except for one 43-year-old man with myelodysplastic syndrome, all the lower motor neuron deficit patients were over 60 years of age. Involved myotomes were more widespread than involved dermatomes in eight patients. Electromyography in four patients demonstrated denervation of involved muscles. Five patients experienced complete or near complete recovery from their muscle weakness. The muscle weakness related to herpes zoster was occasionally diagnosed by electromyography as motor neuron damage. Manifestations of motor neuron complications were not noticed but might in fact be more common than was the clinical muscle weakness.

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Section: Discussionsupporting

confidence: 92%