2010
DOI: 10.1212/wnl.0b013e3181c7da35
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Polyneuritis Cranialis Caused by Varicella Zoster Virus in the Absence of Rash

Abstract: A 21-year-old man presented with acute hoarseness, pharyngeal pain, and dysphagia on December 24, 2008. He was able to drink water only and his condition did not improve; therefore, he was admitted to our hospital on January 5, 2009. On admission, his body temperature was 38.5°C, and he had mild headache and tenderness of the left external auditory meatus. There was no evidence of a skin rash around his ears or face, and no rash was observed in the oral cavity. No lymphadenopathy or hepatosplenomegaly was obse… Show more

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Cited by 16 publications
(9 citation statements)
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“…The dermatological clinical manifestations of VZV range from primary infection with chickenpox to reactivated infection with shingles. VZV reactivation usually presents with a skin rash, although cases of VZV infection without skin rashes (zoster sine herpete) associated with neurological diseases have been reported (3,4).…”
Section: Introductionmentioning
confidence: 99%
“…The dermatological clinical manifestations of VZV range from primary infection with chickenpox to reactivated infection with shingles. VZV reactivation usually presents with a skin rash, although cases of VZV infection without skin rashes (zoster sine herpete) associated with neurological diseases have been reported (3,4).…”
Section: Introductionmentioning
confidence: 99%
“…Importantly, multiple forms of trigeminal (Easton, 1970; Hevner et al, 2003; Yamada et al, 2003) and facial (Morgan and Nathwani, 1992; Murakami et al, 1998; Terada et al, 1998) distribution zoster as well as polyneuritis cranialis due to VZV (Osaki et al, 1995; Murata et al, 2010) may occur in the absence of rash.…”
Section: Reactivation Of Vzvmentioning
confidence: 99%
“…The blood supply of cranial nerves III, IV, V1 and VI comes from the carotid circulation, while V 2 , V 3 and VII, IX, X, XI and XII are supplied by the external carotid circulation [15]. It is important to recognize that multiple forms of trigeminal- [16, 17] and facial- [18] distribution zoster as well as polyneuritis cranialis due to VZV [19, 20] may occur in the absence of rash.…”
Section: Neurological Complications Of Vzv Reactivationmentioning
confidence: 99%