Annals of dermatology

Korean Dermatological Association (대한피부과학회)
권호 표지
DOI QR코드

DOI QR Code

Frequency of Herpes Zoster Recurrence in Central District of Korea

  • Ha, Jae Won (Department of Dermatology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jin Yong (Department of Dermatology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Her, Young (Department of Dermatology, Kangwon National University Hospital, Kangwon National University College of Medicine) ;
  • Kim, Chul Woo (Department of Dermatology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Sang Seok (Department of Dermatology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2017.01.04
  • Accepted : 2017.03.13
  • Published : 2017.10.01
⟨ Previous Next ⟩

Abstract

Background: Herpes zoster is characterized by unilateral grouped vesicles along the distribution of a dermatome. A global recurrence rate as low as 0.5%~6.2% has been reported for herpes zoster. The recurrence of herpes zoster is higher in immunocompromised patients and older patients. Objective: The purpose of this study is to assess the frequency of herpes zoster recurrence and factors that can influence its recurrence. Methods: From January 2005 to December 2015, 14,343 patients with herpes zoster were enrolled in this study. The patients were diagnosed at Hallym University Medical Centers and Kangwon National University Hospital in Seoul, Gyeonggi, and Gangwon. Herpes zoster recurrence and patient characteristics were surveyed by medical record review and a telephonic survey. Results: The overall frequency of herpes zoster recurrence was 1.18%. The frequency of recurrence was higher in women than in men. It was also higher in patients aged 50~70 years than in patients who were younger or older than this. Additionally, we assessed that the frequency of recurrence was statistically higher in patients with a compromised immune system and in patients who experienced longer lasting pain during their first episode. Conclusion: The frequency of herpes zoster recurrence is more common in women, older age, patient with longer pain duration and immunocompromised patients.

Keywords

References

  1. Oxman MN, Schmader KE. Varicella and herpes zoster. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, editors. Fitzpatrick's dermatology in general medicine. 8th ed. New York: McGraw-Hill, 2012:2383-2401.
  2. Shin BS, Na CH, Song IG, Choi KC. A case of human immunodeficiency virus infection initially presented with disseminated herpes zoster. Ann Dermatol 2010;22:199-202. https://doi.org/10.5021/ad.2010.22.2.199
  3. Keidan SE, Mainwaring D. Association of herpes zoster with leukemia and lymphoma in children. Clin Pediatr (Phila) 1965;4:13-17. https://doi.org/10.1177/000992286500400104
  4. Volpi A, Gatti A, Pica F. Frequency of herpes zoster recurrence. Mayo Clin Proc 2011;86:586.
  5. Han ES, Choi HR, Seo SJ, Hong CK, Ro BI. A clinical study of herpes zoster during the last 10 years. Korean J Dermatol 1994;32:286-293.
  6. Baek JO, Kim M, Roh JY, Lee JR. A case of unilateral motor paralysis of the shoulder caused by herpes zoster. Ann Dermatol 2007;19:91-95. https://doi.org/10.5021/ad.2007.19.2.91
  7. Jang YH, Lee JS, Kim SL, Chi SG, Lee WJ, Lee SJ, et al. Do interventional pain management procedures during the acute phase of herpes zoster prevent postherpetic neuralgia in the elderly?: a meta-analysis of randomized controlled trials. Ann Dermatol 2015;27:771-774. https://doi.org/10.5021/ad.2015.27.6.771
  8. Yawn BP, Wollan PC, Kurland MJ, St Sauver JL, Saddier P. Herpes zoster recurrences more frequent than previously reported. Mayo Clin Proc 2011;86:88-93. https://doi.org/10.4065/mcp.2010.0618
  9. Jeong SK, Kim IH. Recurrence rate of herpes zoster during the previous decade. Korean J Dermatol 2012;50:287-289.
  10. Kim YM, Lee SY, Lee JS, Park YL, Whang KU, Cho MK, et al. Epidemiological and clinical study on herpes zoster in the province of Chungcheongnam-do (2004-2006). Korean J Dermatol 2008;46:1488-1494.
  11. Lee HE, Lee SY. A case of progressive cribriform and zosteriform hyperpigmentation. Korean J Dermatol 2013;51:291-295.
  12. Thomas SL, Hall AJ. What does epidemiology tell us about risk factors for herpes zoster? Lancet Infect Dis 2004;4:26-33. https://doi.org/10.1016/S1473-3099(03)00857-0
  13. Raza N, Iqbal P, Anwer J. Recurrence of herpes zoster in an immunocompetent adult male. J Ayub Med Coll Abbottabad 2005;17:80-81.
  14. Oxman MN. Zoster vaccine: current status and future prospects. Clin Infect Dis 2010;51:197-213. https://doi.org/10.1086/653605
  15. Roh NK, Park YM, Kang H, Choi GS, Kim BJ, Lee YW, et al. Awareness, knowledge, and vaccine acceptability of herpes zoster in Korea: a multicenter survey of 607 patients. Ann Dermatol 2015;27:531-538. https://doi.org/10.5021/ad.2015.27.5.531

Cited by

  1. Herpes zóster plantar recurrente en un paciente con linfoma de Hodgkin vol.34, pp.2, 2019, https://doi.org/10.1016/j.piel.2018.01.009
  2. S2k-Leitlinie zur Diagnostik und Therapie des Zoster und der Postzosterneuralgie vol.8, pp.None, 2020, https://doi.org/10.3205/id000045