it is a review compressed slideshow about herpes zoster skin infection

1. HERPES ZOSTER

5. • Thoracic region
• Grouped vesicle
• Erythema
• Pain
• Also named
• shingles

6. Aetiology
• Attack of chicken pox
• Virus remains dormant in sensory root ganglion
• Reactivated in old age, without any cause, lymphoreticular
malignancy
• Result in herpes zoster

7. PRESENTATION
• SEVERE PAIN
• After 1-4 days
• Eruthematous,edematous swelling
• Grouped vesicle
• Pustule formation
• Crust formation
• Fall up within 2 weeks with little scarring
• Draining lymph nodes enlarged

8. • Site :- most commonly –thoracic region ophthalmic division of
trigeminal nerve
• Hutchison’s sign :- Herpes zoster eruption on the side of the nose
• Diagnosis :- unilateral,segmental,painful,grouped vesicle
+/- HP examination (giant cell)
+search for underlying reasons

9. Treatment
Mild severe
Analgesic analgesic
Antibiotic antibiotic
antiviral
acyclovir-800mgx5x7day Indication
famcyclovir multidermatomal
valcyclovir immunocompromised
eye involvement

10. Complication
1. Secondary bacterial infection
2. Disseminated lesion
3. Herpes zoster opthalmaticus
4. Post herpetic neuralgia

11. Post herpetic neuralgia
Prevention
1. Antiviral at the first attack
2. Steroid
Treatment
1. Gabapentin
2. Pregabalin
3. Capsaicin topical gel