The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Herpes Sine Zoster: Is the Cause for the Segmental Intercostal Neuralgia of Unknown Cause? -A case report-

Zoster Sine Herpete는 원인을 모르는 늑간신경통의 원인인가? -증례 보고-

  • Yeo, Jin-seok (Department of Anesthesiology and Pain Medicine, Sungkyunkwan University School of Medicine) ;
  • Sim, Woo-seok (Department of Anesthesiology and Pain Medicine, Sungkyunkwan University School of Medicine) ;
  • Kim, Yong-chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 여진석 (성균관대학교 의과대학 마취통증의학교실) ;
  • 심우석 (성균관대학교 의과대학 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2005.08.26
  • Accepted : 2005.10.25
  • Published : 2005.12.10
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Abstract

Zoster sine herpete (ZSH) is a varicella zoster virus (VZV) reactivation without a zoster that is difficult to diagnose early after onset. This study examined 12 patients who presented with intercostal neuralgia, had no history of trauma, cutaneous eruption and no scar of a herpes zoster on the lesion. Two patients had a vertebral compression fracture. Two patients had a history of a zoster in the other site. No other suspicious findings were observed. Ten of the twelve patients were checked for the IgG and IgM varicellar zoster virus antibody. All the patients tested positive to the Ig G antibody test and only one patient tested positive to the IgM antibody test. One patient was confirmed to have ZSH and the other patients were suspected of having ZSH. All the patients were treated for postherpetic neuralgia, resulting in a significant decrease in the intercostal neuralgia.

Keywords

References

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