Reducing pain in acute herpes zoster with plain occlusive dressings: a case report

Reducing pain in acute herpes zoster with plain occlusive dressings: a case report

Electronystagmographic findings in idiopathic facial paralysis have been adduced by some as evidence for a vascular etiology; others, on clinical grounds, hold that it is a viral disease. De gemiddelde incidentie bedraagt 3,2 per 1000 personen per jaar. Both of these medications reduce the time to complete cessation of zoster-associated pain including post-herpetic neuralgia, as compared to acyclovir. Miettinen), Tampere University Hospital; the Department of Virology (Dr. One man and 5 women with a median age of 71 (range 47-84) presented with HZO with acute clinical orbital signs. Differences of mean reduction of pain intensity between the two groups were 14.7 (4.7-24.8, P = 0.005) during rest and 10.4 (1.6-19.3, P = 0.007) during movement, favoring the lidocaine patch. In an effort to avoid increased narcotic use or additional medications (and their possible side effects), he elected to apply a series of plain occlusive dressings (Tegaderm™; 3M, London, Canada) directly over the vesicular eruption, as depicted in Figure 1.
Reducing pain in acute herpes zoster with plain occlusive dressings: a case report

This decision was based upon a spontaneous hypothesis that an additional layer of skin (albeit artificial) might reduce the severity of his constant pain and skin hypersensitivity. Herpes zoster wordt veroorzaakt door een reactivering van het varicella-zostervirus (humaan herpesvirus type 3). We conclude that famciclovir was superior to valacyclovir in the relief of acute pain of herpes zoster. In 42 patients (84%), the symptoms constituted pain and rash only. HZO can rarely cause an acute orbital syndrome and we present what may be the largest series of such patients to date. Peeling dressings were removed and replaced during this period. The removal of partially peeling dressings resulted in mild worsened pain at the time of removal, akin to removing a regular adhesive bandage.

If replacement was delayed for longer than five minutes, his previous severe level of pain would begin to return, and promptly returned to four out of 10 or lower with subsequent reapplication. De definitie van postherpetische neuralgie (PHN) is niet eenduidig: meestal wordt het gedefinieerd als pijn in het betreffende dermatoom die een maand na het begin van de huiduitslag nog aanwezig is.

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