Herpes Zoster (HZ) in Childhood
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概要
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We studied 69 children with herpes zoster (HZ) during the years 1988-1993. Most patients were 7 years of age or older. Of 69 patients, 32 (46%) were males and 37 (54%) were females. The largest cluster of patients, 11 (19%), was found in August. On the other hand, the smallest clusters, one patient (2%), were found in January and in May.Of 69 patients, 38 (55%) had lesions on the right side and 31 (45%) had lesions on the left side. Of 50 patients (71%) with lesions on thoracic dermatomes, 10 (14%) had lesions on the T4 dermatome.Of 13 patients (19%) with basal diseases, five had malignant diseases. Of 56 patients without basal diseases, 16 were inpatients and 40 were outpatients. Of 16 inpatients, 12 were treated with continuous epidural blocks for 6 to 19 days (mean 11 days). Four patients of 16 inpatients had good pain relief with non steroidal antiinflammatory drugs (NSAIDs) and were discharged within 7 days. Of 40 outpatients, all patients completed the therapy with several clinic visits and eight obtained total analgesia in the affected skin.Patients with basal diseases were administered antiviral agents. Complement fixing (CF) antibody titer elevated about two weeks after the onset of HZ. Of 69 patients, only one patient with acute lymphatic leukemia (ALL) had facial nerve paralysis as a complication with the lesion on the ipsilateral C2 dermatome.This study demonstrates as follows: 1) Severe pain is not frequently experienced. 2) Post-herpetic neuralgia (PHN) is rare. 3) The largest cluster of patients was found in Summer.
- 一般社団法人 日本ペインクリニック学会の論文
一般社団法人 日本ペインクリニック学会 | 論文
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