Research Article
Volume 4 Issue 3 - 2020
Herpes Zoster in Al-Baha Region (Saudi Arabia): Clinical Presentation and Management
Aziz A AlSohaimi*
Assistant Professor of Dermatology, Faculty of Medicine, Al-Baha University, KSA
*Corresponding Author: Aziz A AlSohaimi, Assistant Professor of Dermatology, Faculty of Medicine, Al-Baha University, KSA.
Received: February 18, 2020; Published: February 29, 2020




Abstract

Background: Primary infection with Varicella zoster virus (VZV) causes chickenpox. Herpes zoster (HZ), also called shingles, appears from the reactivation of the latent virus infection. The virus can be reactivated after many years and results in HZ in dermatomal distribution. Several factors can contribute to the risk factor such as anxiety, diabetes mellitus, and immunosuppression for reactivation. HZ is characterized by unilateral severe pain and multiple vesicles that is generally followed by the dermatome innervated by the involved ganglion. In immune-compromised individuals, disseminated zoster might develop.

Materials and Methods: The aim of this study is to identify the clinical presentation of HZ and its management. A total of 125 cases of HZ were seen during the study period in the dermatology clinic at King Fahd Hospital from 2014 to 2018. All cases were diagnosed based on the classical morphological presentation. Analysis of the following parameters was applied: age, sex, symptoms, affected dermatome, association, and treatment.

Results: Of the 12600 new cases seen in the dermatology clinic over 4 years, 125 were HZ with an occurrence of 0.99%. Male to female ratio was 1.5:1 and the age ranged from 3 weeks to 98 years. The thoracic dermatomes were the most commonly involved. The most frequent coexisting disease was diabetes mellitus and the most common complication of HZ was Post herpetic neuralgia (PHN).

Conclusion: The occurrence of HZ is 0.99% in patients reporting to the dermatology clinic of the hospital. Males were slightly more affected than females. The thoracic dermatomes followed by lumbosacral are the most frequently involved.

Keywords: Herpes Zoster; Shingles; Varicella Zoster; Thoracic Dermatomes; Postherpetic Neuralgia

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Citation: Aziz A AlSohaimi. “Herpes Zoster in Al-Baha Region (Saudi Arabia): Clinical Presentation and Management”. EC Emergency Medicine and Critical Care 4.3 (2020): 01-06.

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