Herpes zoster duplex bilateralis in an immunocompetent host

Gahalaut, Pratik; Chauhan, Suvarcha

doi:10.4103/2229-5178.93495

Cited by 9 publications

(8 citation statements)

References 5 publications

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“…In our study multidermatomal involvement was observed in 11 patients and herpeszoster duplex bilateralis and disseminated herpes zoster was observed in one case each ,all of them were immunocompromised. This is in concordance with other studies [4,10] where as Gahalaut et al has reported a case of herpeszoster duplex bilateralis in an immunocompetent individual [11]. HIV seropositivity was seen in 7% of the patients in our study and two of them had multidermatomal and one had disseminated zoster.This is similar to the study by Kar et al where they observed a seropositivity of 9.5% in 115 cases studied [12].…”

Section: Discussionsupporting

confidence: 82%

Clinical profile of Herpes zoster in a rural tertiary care hospital in South India

Vinod¹,

Ambika²,

Raghunath³

et al. 2014

Our Dermatol Online

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Introduction: Herpes zoster (Hz), which presents as localized, painful cutaneous eruption is a common clinical problem, particularly among adults of above 50 years of age and immunocompromised patients. It results from reactivation of varicella zoster virus. Aim: To analyze the clinical pattern of herpes zoster with special emphasis to the precipitating factors and incidence of post herpetic neuralgia. Material and Methods: 100 clinically diagnosed cases of herpes zoster, attending the Dermatology department of MVJ Medical College and Research Hospital Bangalore, India from a period of June 2010 to May 2012 were included in the study. The clinical pattern of herpes zoster with special emphasis to the precipitating factors and incidence of post herpetic neuralgia were analyzed. Results and Conclusion:The study showed a male preponderance. Age group varied from 8-80 years. 42% of the total patients presented during summer season when the incidence of varicella is also high. Past history of chicken pox was present in 68% of the patients. 11% of the patients were on immunosuppressive treatment. 8% of the patients had associated diabetes mellitus and 7% showed HIV seropositivity. Thoracic dermatomal involvement was seen in majority of patients. Most commonly observed complication was post herpetic neuralgia which was encountered in 36% of the patients and most of these patients were (77%) were above the age of 60years. IntroductionHerpes zoster (HZ), which presents as localized, painful cutaneous eruption is a common clinical problem, particularly among adults of above 50 years of age and immunocompromised patients. It results from reactivation of varicella zoster virus (VZV). After primary infection of varicella, the virus persists asymptomatically in the ganglia of sensory cranial nerves and spinal dorsal root ganglia. As cellular immunity to VZV decreases with age or because of immunosuppression, the virus reactivates and travels along the sensory nerves to the skin, causing the distinctive prodromal pain followed by eruption of the rash [1]. Clinical presentation is dependent on rapidity of immune response and ranges from typical zoster to scattered vesicles, zoster sine herpete or disseminated zoster. It is a cause of considerable morbidity, especially in the elderly and can be fatal in immunocompromised or critically ill patients.

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Section: Discussionsupporting

confidence: 82%

Clinical profile of Herpes zoster in a rural tertiary care hospital in South India

Vinod¹,

Ambika²,

Raghunath³

et al. 2014

Our Dermatol Online

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“…An effective immune system maintains the viral genome in latently infected cell and prevents viral replication and spread via retrograde axonal flow to the skin. Reactivation of HZ is usually confined to a single episode and a single dermatome, though the latent viral genomes are present in many peripheral sensory ganglia [2] Factors reported to determine the occurrence of zoster include waning specific cell mediated immunity to VZV related to age, immunosuppressive disease or drug therapy, local trauma such as surgery, local therapeutic X-ray irradiation and possibly local musculoskeletal problem. Isolated case reports in the literature also document bilateral zoster.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The phenomenon of herpes zoster occurring concurrently in two non-contiguous dermatomes involving different halves of the body is termed herpes zoster duplex bilateralis (HZDB). [2] …”

Section: Introductionmentioning

confidence: 99%

Herpes Zoster Duplex Bilateralis ? A Case Report

2017

IJSR

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“…Multiple recurrences of herpes zoster has been reported in HIV and immunocompromised patients [1]. Although herpes zoster is typically unilateral, there has been only few reports of multiple dermatomal involvement [2,[7][8][9] and bilateral asymmetrical [2,9] distribution of herpes zoster lesions with incidence of approximately less than 1% [10]. This presentation has been referred to a zoster duplex unilateralis or bilateralis depending on whether one or both halves of the body is involved [1].…”

Section: Case Reportmentioning

confidence: 99%