대상포진 후 발생한 비대흉터에 동반된 만성 통증 -증례 보고-

Hypertrophic Scar with Chronic Pain after Acute Herpes Zoster -A case report-

  • 최종철 (전남대학교 의과대학 마취통증의학교실) ;
  • 배홍범 (전남대학교 의과대학 마취통증의학교실) ;
  • 정성태 (전남대학교 의과대학 마취통증의학교실) ;
  • 김석재 (전남대학교 의과대학 마취통증의학교실) ;
  • 정성욱 (전남대학교 의과대학 마취통증의학교실) ;
  • 윤명하 (전남대학교 의과대학 마취통증의학교실) ;
  • 정성수 (전남대학교 의과대학 치의학전문대학원) ;
  • 유경연 (전남대학교 의과대학 마취통증의학교실) ;
  • 정창영 (전남대학교 의과대학 마취통증의학교실) ;
  • 최정일 (전남대학교 의과대학 마취통증의학교실)
  • Choi, Jong Cheol (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Bae, Hong Beom (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Jeong, Sung Tae (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Kim, Seok Jai (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Jeong, Seong Wook (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Yoon, Myung Ha (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Chung, Sung Soo (School of Dentistry, Chonnam National University) ;
  • Yoo, Kyung Yeon (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Jeong, Chang Young (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University) ;
  • Choi, Jeong II (Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University)
  • 투고 : 2005.08.09
  • 심사 : 2005.10.27
  • 발행 : 2005.12.10

초록

The most common and cumbersome complication of herpes zoster is postherpetic neuralgia, which typically presents as neuropathic pain. However, the painful symptoms of the postherpetic period might be associated with other causes, such as skin lesions of the herpes zoster. We report a case of a hypertrophic scar that developed in the lesion of an acute herpes zoster patient and was accompanied by pain.

키워드

참고문헌

  1. Tuan TL, Nichter LS: The molecular basis of keloid and hypertrophic scar formation. Mol Med Today 1998; 4: 19-24.
  2. Shea RC, Prieto VG: Fibrous lesions of dermis and soft tissue. In: Dermatology in general medicine. 6th ed. Edited by Freedberg IM, Eisen AE, Wolff K, Austen KF, Goldsmith LA, Katz SI: New York, McGraw-Hill. 2003, pp 991-2.
  3. Mustoe TA, Cooter RD, Gold MH, Hobbs FD, Ramelet AA, Shakespeare PG, er al: International clinical recommendations on scar management. Plast Reconstr Surg 2002; 110: 560-71.
  4. Dworkin RH, Schmader KE: Herpes zoster and postherpetic neuralgia. In: Essentials of pain medicine and regional anesthesia. 2nd ed. Edited by Benzon HT, Raja SN, Molloy RE, Liu SS, Fishman SM: Philadelphia, Churchill Livingstone. 2005, PP 386-93.
  5. Watson CP, Evans RJ, Watt VR, Birkett N: Post-herpetic neuralgia: 208 cases. Pain 1988; 35: 289-97.
  6. Fields HL, Rowbotham M, Baron R: Postherpetic neuralgia: irritable nociceptors and deafferentation. Neurobiol Dis 1998; 5: 209-27.
  7. Epstein E: Treatment of herpes zoster and postzoster neuralgia by subcutaneous injection of triamcinolone. Int J Derrnatol 1981; 20: 65-8.
  8. Raj PP: Postherpetic Neuralgia. In: Practical pain management. 3rd ed. Edited by Tollison CD, Satterthwaite, Tollison JW: Philadelphia, Lippincott Williams & Wilkins. 2002, PP 538-9.