Herpes zoster physical examination: Difference between revisions

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Image:Herpes zoster 7.jpg|[[Plantar]] foot [[rash]] caused by herpes zoster
Image:Herpes zoster 7.jpg|[[Plantar]] foot [[rash]] caused by herpes zoster
Image:Herpes zoster 8.jpg|[[Vesicle|Vesicular]] [[lesion]]s of Herpes zoster
Image:Herpes zoster 8.jpg|[[Vesicle|Vesicular]] [[lesion]]s of Herpes zoster
Image:Herpes zoster9.jpg|The [[pathological|pathologic]] changes seen on the surface of the right unilateral side of this elderly male patient’s tongue and chin, represent a herpes outbreak due to the [[Varicella zoster virus]] (VZV) pathogen, which may lay dormant in the [[spinal nerve]] roots through a [[chicken pox]] infected individual’s life, only manifesting its presence through [[outbreak]]s, as Shingles, or herpes zoster. It is caused by the [[Herpes virus|Herpesviridae]] chickenpoxvirus.
Image:Herpes zoster9.jpg|The [[pathological|pathologic]] changes seen on the surface of the right unilateral side of this elderly male patient’s tongue and chin, represent a herpes outbreak due to the [[Varicella zoster virus]] (VZV) pathogen, which may lay dormant in the [[spinal nerve]] roots through a [[chicken pox]] infected individual’s life, only manifesting its presence through [[outbreak]]s, as Shingles, or herpes zoster.
Image:Herpes zoster 10.jpg|The [[pustule|pustulo-]][[vesicle|vesicular]] [[rash]] on this African-American woman’s face, represents a herpes [[outbreak]] due to the [[Varicella zoster virus]] (VZV) pathogen, which may lay dormant in the [[spinal nerve]] roots through a [[chickenpox]] infected individual’s life, only manifesting its presence through outbreaks, as Shingles, or herpes zoster. It is caused by the Herpesviridae chickenpoxvirus.
Image:Herpes zoster 10.jpg|The [[pustule|pustulo-]][[vesicle|vesicular]] [[rash]] on this African-American woman’s face, represents a herpes [[outbreak]] due to the [[Varicella zoster virus]] (VZV) pathogen, which may lay dormant in the [[spinal nerve]] roots through a [[chickenpox]] infected individual’s life, only manifesting its presence through outbreaks, as Shingles, or herpes zoster. It is caused by the Herpesviridae chickenpoxvirus.
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Revision as of 18:52, 2 January 2013

Herpes zoster Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Herpes zoster from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Herpes Zoster
Congenital Varicella Syndrome

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

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Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; L. Katie Morrison, MD; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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Physical Examination

People with herpes zoster most commonly have a rash in one or two adjacent dermatomes (localized zoster). The rash most commonly appears on the trunk along a thoracic dermatome. The rash does not usually cross the body’s midline. However, approximately 20% of people have rash that overlaps adjacent dermatomes. Less commonly, the rash can be more widespread and affect three or more dermatomes. This condition is called disseminated zoster. This generally occurs only in people with compromised immune systems. Disseminated zoster can be difficult to distinguish from varicella.

The rash develops into clusters of clear vesicles. New vesicles continue to form over three to five days and progressively dry and crust over. They usually heal in two to four weeks. There may be permanent pigmentation changes and scarring on the skin.

(Images shown below courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

References

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