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A Case Report on Herpes Zoster (대상포진 환자 치험 1례)

  • Kim, Mi-Rang;Seo, Un-Kyo;Shin, Jeong-In
    • The Journal of Internal Korean Medicine
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    • v.23 no.1
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    • pp.147-152
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    • 2002
  • Clinical symptoms of herpes zoster include red rash, burning pain, tingling or extreme sensitivity in the affected area, usually limited to one side of the body. There might be a fever or a headache. The pain of acute herpes zoster may be severe, but it is usually temporary. Some of old patients are likely to develop postherpetic neuralgia. We treated a 73 year-old male patient who had severe pain and a headache after acute herpes zoster. In the point of Differentiation of Syndromes(辯證), this subject was diasgnosed as wind-heat syndrome(風熱證) and was administered Bangpungtongsung-san. For the purpose of making the pain easier, we used the western medication as well. After six days of treatment, pain and the other symptoms improved. Besides postherpetic neuralgia dissipated. Based on this experience, both oriental medicine and western medicine have a good effect on acute herpes zoster.

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A CLINICAL CASE OF UNILATERAL MAXILLARY DEFECT RECONSTRUCTION USING NASOLABIAL FLAP (비순 피판을 이용한 상악골 편측 괴사환자의 치험례)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.2
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    • pp.167-172
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    • 2009
  • The maxilla rarely undergoes necrosis due to its rich vascularity. Maxillary necrosis can occur due to bacterial infections such as osteomyelitis. viral infections such as herpes zoster and fungal infections such as mucormycosis, aspergillosis etc. Herpes zoster is a common viral infection, the oral soft tissue manifestations of which are widely known and recognized. Extremely rare complications such as osteonecrosis, and secondary osteomyelitis in maxilla were observed. But, reports of spontaneous tooth exfoliation and jaw osteonecrosis following herpes zoster infection in the distribution of the trigeminal nerve are extremely rare in the literature. We report a case of maxillary necrosis by herpes zoster in an uncontrolled diabetic patient. There was extensive necrosis of the buccal and palatal mucoperiosteum and exposure of the alveolar bone. This patient was successfully treated using a removal of necrotic bone and nasolabial flap. We briefly discuss different diseases which can lead to maxillary necrosis and a review. Analysis of the pathogenesis of herpes zoster and bone necrosis are discussed.

Diaphragmatic Paralysis Following Cervical Herpes Zoster (경부 대상포진에 의한 횡격막 신경 마비 1예)

  • Kim, So Young;Hwang, Ki Eun;Jung, Jong Hoon;Park, Jung Hyun;Kim, Hwi Jung;Kim, Hak Ryul;Yang, Sei Hoon;Park, Hyun Young;Jeong, Eun Taik
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.1
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    • pp.80-82
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    • 2006
  • Herpes zoster is well-known viral disease in immune compromised that produces inflammatory lesions in the posterior root ganglia and is characterized clinically by pain and skin eruptions along the distribution of the affected ganglia. However, motor involvement after a herpes zoster is an uncommon complication. We report a case of diaphragmatic paralysis that occurred after a herpes zoster in 63-year-old woman. The diaphragmatic paralysis occurred one month after the typical herpes zoster eruptions affecting the C3 and C4 dermatomes in the right neck, shoulder and back area.

Design and Implementation of Magnetic Stimulation Device Suitable for Herpes Zoster and Post Herpetic Neuralgia

  • Tack, Han-Ho;Kim, Gye-Sook;Kim, Whi-Young
    • Journal of Advanced Information Technology and Convergence
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    • v.10 no.2
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    • pp.199-214
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    • 2020
  • An important technique of the present invention is primarily to parallel light detection, self-pulse therapy after diagnosis. Herpes zoster is a disease caused by varicella zoster virus, and the virus that has been latent in the dorsal root ganglion that controls the skin segment loses its immune system and physically damages it. It is an acute skin disease in which acute pain and bullous rash occur along the sensory ganglia, which are rehab by inducers such as malignant tumors. Dorsal root ganglion after complete recovery of varicella, relapsed after incubation in brain ganglion, latent virus sometimes suppressed activity by cell mediated immunity, and in cell ganglion with reduced cellular immunity. It proliferates and destroys neurons, causing pain while forming a rash and blisters. This can reduce cell necrosis and increase the phagocytosis and enzymatic activity through the movement of ions through the cell membrane, depolarization and membrane potential change, growth factor secretion, calcium ion transfer, chondrocyte synthesis, etc., And may offer treatment options for lesions of herpes zoster and post-herpetic neuralgia (PHN).Therefore, according to the present research, the diagnosis and treatment device of treating paing for herpes zoster and post-herpetic pain can be implemented in the early stage of herpes zoster, and conventional analgesic regulation, anti-inflammatory effect, post-herpetic neuralgia.

HERPES ZOSTER WITH ORAL LESION; CASE REPORT AND REVIEW OF CURRENT LITERATURE (구강 내 병소를 동반한 대상 포진에 관한 증례 보고 및 최신 문헌 고찰)

  • Kim, Ki-Young;Kim, Jong-Sik;Kim, Hyung-Wook;Hong, Soon-Min;Park, Jun-Woo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.3
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    • pp.268-272
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    • 2007
  • Herpes zoster is caused when the varicella zoster virus(VZV) that has remained latent since an earlier varicella infection is reactivated with cutaneous and mucous manifestations. They occur in 20% cases in the trigeminal area and typical manifestations are neuralgias simulating dental pain, also vesicles with an erythematous halo located in the territory of the second and third trigemial branch. They erupt on the skin, the lips, tongue, palate and cheeks. With an ever-increasing number of elderly and immunocompromised patients attending the dentist, the dental profession can expect to encounter an increased number of herpes zoster patients. Furthermore, the oral and maxillofacial surgeons must be familiar with the presenting signs and symptoms of patients experiencing the prodromal manifestations and oral complication of herpes zoster of the trigeminal nerve. As presentation of our patient with ulcer on hard palate caused by herpes zoster, current treatment of herpes zoster and post-herpetic neuralgia are discussed.

A Case of Recurrent Herpes Zoster after Coronavirus Disease-2019 (COVID-19) Vaccination (코로나바이러스감염증-19 (COVID-19) 백신 접종 후 재발한 대상포진 치험 1례)

  • Song, Ji-Hun;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.4
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    • pp.181-197
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    • 2021
  • Objectives : This study reports a 42-year old female inpatient who visited for recurrent herpes zoster on the right hand and right side of the face on 5 days after coronavirus disease 2019 (COVID-19) vaccination. She already had 2 times of herpes zoster prior to this outbreak. Methods : During 10 days of hospitalization, both treatments were simultaneously applied to her. For Korean medical treatment, acupuncture, herbal medicine including Sipjeondaebo-tang, and Hominis Placenta pharmacopuncture were mainly used. Collaborating with internal medicine of our hospital, essential medications for herpes zoster including antihistamine, corticosteroid, and acyclovir were administered. To assess symptoms, taking photos and numerical rating scale(NRS) were used. Results : On the 3rd day of hospitalization, erythema on the right hand disappeared. On the 4th day, discomfort arisen by zoster lesions dropped from NRS 8, which was initially evaluated, to NRS 0. Facial lesion also steadily improved. At the moment of discharge, erythema on the right side of oral angle disappeared and mild traces of vesicular lesions remained on the right hand. Conclusions : Considering her medical history, the recent recurrent herpes zoster was suspected as an adverse event of COVID-19 vaccination. Unlike general course of herpes zoster, the skin lesions and discomfort were rapidly improved owing to the collaborated treatment during the 10 days. This study may be the first literature on herpes zoster following COVID-19 vaccination in Korea.

Factors Affecting Herpes Zoster Vaccination in Adults (성인의 대상포진 예방접종 시행의 영향 요인)

  • Jeong, Sun Rak;Kim, Yu Mi;Kim, Kyung Hee;Nam, Hang Me;Lee, Won Kee
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.63-73
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    • 2018
  • Objectives : This study aimed investigate general characteristics, vaccination status and health beliefs related to vaccination for herpes zoster and to identify variables. Methods : The structured questionnaire was conducted from March 31, 2016 to April 20, 2016 with 312 outpatients who visited a university hospital. The data were analyzed by frequency analysis, t-test, $x^2-test$, correlation analysis and logistic regression analysis via SPSS statistics 22.0. Results : The vaccination rate of the herpes zoster was 16.0% and the vaccination cost was the most common reason for rejecting inoculation. More highly educated people with more than a university degree(OR=4.28, p=.002), those with higher susceptibility to herpes zoster(OR=1.56, p=.000), those more aware of the benefits of vaccination(OR=1.51, p=.009) and those with lower disability for vaccination(OR=0.74, p=.003) were more likely to be vaccinated. Conclusions : Therefore, to increase the vaccination rate of herpes zoster in adults over 50 years old, continuous publicity and education are needed to emphasize the susceptibility of herpes zoster and the benefit of vaccination. In addition, it is necessary to develop policies at the national level for the expensive vaccination cost that obstructs vaccination.

Neonatal Meningoencephalitis caused by Herpes Simplex Virus Type 2 (Herpes simplex virus type 2에 의한 신생아 수막뇌염)

  • Kim, Dae Eun;Pae, Ramee;Bae, E Young;Han, Ji Yoon;Han, Seung Beom;Jeong, Dae Chul;Lee, In Goo;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.21 no.2
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    • pp.150-156
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    • 2014
  • Despite its rare occurrence, early diagnosis and appropriate treatment for neonatal herpes simplex virus infection are mandatory due to its high morbidity and mortality. In Korea, there has been no epidemiologic data on neonatal herpes simplex virus infection, and even case reports are rare. We observed a 16-day-old neonate who presented with fever and seizures. We diagnosed her with meningoencephalitis caused by herpes simplex virus type 2 based on the polymerase chain reaction test, and treated her with intravenous acyclovir and anticonvulsants. The seroprevalence of herpes simplex virus type 2 sharply increases in women in their 30s, and the average age for childbirth has increased to older than 30 years of age in Korea; we therefore expect that the incidence of neonatal herpes simplex virus type 2 infection will rise in Korea, and more attention should be directed to neonatal herpes simplex virus type 2 infection. We report this newborn patient's case along with a literature review.

The Structural Equation Model Analysis among Variables of Preventive Behavior to Herpes Zoster for Adults over 50 Years Old (50세 이상 성인의 대상포진 예방행위 관련변인들 간의 구조분석)

  • Oh, Hyang-Ok
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.67-82
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    • 2018
  • Objective : This study is purposed to suggest basic data of developing program preventing Herpes zoster by analysis of related variables for adults over 50 years old. Methods : Data had been collected by 225 adults over 50 years old who participated in health program in B city, interested program of welfare service center in C city and community residence through self-administered questionnaire from $15^{th}$ June to $15^{th}$ July 2016. The collected data was analyzed by IBM SPSS statistics v.18 and AMOS v.18. Results : Based on the verification of model by the results of the study, ${\chi}^2=365.785$(df=193, p<.001), $CMIN/DF({\chi}^2/df)=1.90$, GFI=0.88, AGFI=0.84, NFI=0.88, TLI=0.93, CFI=0.94, RMR=0.07, RMSEA=0.06, The action of Herpes zoster preventive behavior and perceived behavior control for adults over 50 years old made direct influence to the Herpes zoster preventive behavior and the attitude of preventive behavior showed the largest total effect. Conclusions : In conclusion, for improving action of Herpes zoster preventive behavior for adults over 50 years old, it is important to induce change of attitude about Herpes zoster preventive behavior. Also, the development and strategy of education program, which can improve action of Herpes zoster preventive behavior, are necessary through emphasizing perceived behavior control about Herpes zoster preventive behavior.

Hypertrophic Scar with Chronic Pain after Acute Herpes Zoster -A case report- (대상포진 후 발생한 비대흉터에 동반된 만성 통증 -증례 보고-)

  • Choi, Jong Cheol;Bae, Hong Beom;Jeong, Sung Tae;Kim, Seok Jai;Jeong, Seong Wook;Yoon, Myung Ha;Chung, Sung Soo;Yoo, Kyung Yeon;Jeong, Chang Young;Choi, Jeong II
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.229-231
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    • 2005
  • 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.