Herpes zoster duplex affecting different dermatomes at the same time

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  • 異なる皮膚分節で同時期に両側発症した帯状疱疹の1症例
  • コトナル ヒフ ブンセツ デ ドウ ジキ ニ リョウガワ ハッショウ シタ タイジョウホウシン ノ 1 ショウレイ

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Abstract

A 71-year-old male developed acute herpes zoster (AHZ) of the left Th10-11 dermatomes. After 3 days the same rash occurred on the right Th5-6 dermatomes, and he was admitted to our clinic. Acyclovir administration, and continuous epidural analgesia and nerve root blocks (Th10-11) were performed. He obtained pain relief of the left Th10-11 dermatomes with nerve blocks after approximately 1 month, but the pain affecting the right Th5-6 dermatomes without nerve blocks progressed to postherpetic neuralgia (PHN). We speculate that early treatment of AHZ with nerve blocks may prevent progression of PHN.

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