Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Herpes Zoster Ophthalmicus in a Patient with Malignant Lymphoma

악성림프종 환자에서 발생한 안부 대상포진

  • Lee, Jun-Hak (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Kim, Hyung-Tae (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Park, Jun-Beom (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Park, Sang-Cheol (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Kwon, Young-Eun (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
  • 이준학 (전주예수병원 마취통증의학과) ;
  • 김형태 (전주예수병원 마취통증의학과) ;
  • 박준범 (전주예수병원 마취통증의학과) ;
  • 박상철 (전주예수병원 마취통증의학과) ;
  • 권영은 (전주예수병원 마취통증의학과)
  • Published : 2005.07.02
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Abstract

Herpes zoster (HZ) is an acute infection of the unilateral sensory dermatome caused by varicella-zoster virus (VZV) and is characterized by vesicular eruption and unilateral pain along the involved dermatome. Although the pathogenesis of HZ is incompletely understood, it is thought that when cell-mediated immunity falls below a critical level, dormant VZV within cells of the sensory ganglia are allowed to replicate and infect the host with the resultant clinical presentation of HZ. It has been associated with immunosuppressed states, such as advanced age, leukemia, lymphoma, chemotherapy and/or radiation treatment. We present a case of a 62-year-old female patient with malignant lymphoma suffering herpes zoster ophthalmicus who did not respond to conventional treatment, and in whom the application of various nerve blocks and patient-controlled analgesia produced moderate pain relief. The patient died twenty days later due to cardiopulmonary failure.

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