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Two patients with herpes zoster-associated pain in the subacute phase successfully treated with intravenous lidocaine
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- SHIMOHATA Keiko
- Department of Anesthesiology, Kameda-Daiichi Hospital
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- SHIMOHATA Takayoshi
- Department of Neurology, Gifu University Graduate School of Medicine
Bibliographic Information
- Other Title
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- リドカイン点滴静注が奏功した亜急性期の帯状疱疹関連痛の2症例
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Description
<p>We report two patients with herpes zoster-associated pain (ZAP) in the subacute phase that responded to intravenous drip infusion of lidocaine. Patient 1 was a 70-year-old man who presented with herpes zoster on the right Th4 region. He was not responding to pregabalin 150 mg/day for electric shock-like pain and sleep disturbance, then he visited our hospital a month after the onset. He presented with a VAS of 80 mm and allodynia. Because he was on antithrombotic therapy for cerebral infarction, nerve block could not be performed. Patient 2 was a 69-year-old man with left Th5 herpes zoster. He presented with a VAS of 70 mm and allodynia. Allodynia disappeared immediately after intercostal nerve block and intravenous lidocaine infusion of 100 mg. Lidocaine infusion is a simple and effective adjunctive therapy for ZAP with allodynia in the sub-acute phase when nerve block cannot be performed, such as during antithrombotic therapy.</p>
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 28 (12), 258-261, 2021-12-25
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390290537434320512
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- NII Article ID
- 130008134366
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- ISSN
- 18841791
- 13404903
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed