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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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Correspondence to Uwe Wollina .

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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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  • DOI: https://doi.org/10.1007/978-3-031-15130-9_39

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