Abstract
Herpes zoster (HZ) is an acute segmental eruption of herpetiform-grouped vesicles due to endogenous reactivation of varicella-zoster virus (VZV) infection of nerval segments. The disease is characterized by malaise, fever, segmental pain, hyperesthesia, itch, and burning sensations. Postherpetic neuralgia is a greatly feared complication leading to severe chronic pain over more than 4 weeks. HZ needs to be treated by systemic antiviral drugs. First-line treatment is acyclovir or brivudine. In contrast to acyclovir brivudine has no nephrotoxicity resistance. Vaccination is recommended for prophylaxis in elderly patients.
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Abbreviations
- BW:
-
Body weight
- DNA pol:
-
DNA polymerase
- HZ:
-
Herpes zoster
- TK:
-
Thymidine kinase
- VZV:
-
Varicella-zoster virus (VZV)
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Further Reading
Drolet M, Oxman MN, Levin MJ, Schmader KE, Johnson RW, Patrick D, Brisson M, et al. Vaccination against herpes zoster in developed countries. State of the evidence. Hum Vaccin Immunother. 2013;9(5):1–8.
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Wollina, U. (2023). Herpes Zoster. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D'Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Cham. https://doi.org/10.1007/978-3-031-15130-9_39
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