中国麻风皮肤病杂志 ›› 2019, Vol. 35 ›› Issue (10): 606-608.doi: 10.12144/zgmfskin201910606

• 短篇论著 • 上一篇    下一篇

播散性带状疱疹二例报道并文献复习

谢璟  郑炎焱   

  1. 温州医科大学温州市第三临床学院,温州市人民医院,浙江温州,325000
  • 出版日期:2019-10-15 发布日期:2019-10-11
  • 通讯作者: 郑炎焱,E-mail: yying33171@163.com

Disseminated herpes zoster: two cases report and literature review

XIE Jing, ZHENG Yanyan   

  1. Wenzhou People's Hospital of Wenzhou City, Wenzhou 325000, China
  • Online:2019-10-15 Published:2019-10-11
  • Contact: ZHENG Yanyan, E-mail: yying33171@163.com

摘要: 带状疱疹(HZ)皮损通常限于单个皮区,而涉及两个或更多个皮区的非邻近HZ比较少见,我们报道2例播散性HZ患者并回顾相关文献。病例1,男,77岁。右臀部簇集性丘疹、水疱伴疼痛6天,全身皮疹2天,治疗上给予抗病毒、营养神经和对症治疗,病情得到控制,未见新发皮疹,仍有神经疼痛。病例2,女,32岁。左侧胸背部簇集性丘疹、水疱伴疼痛4天,全身皮疹伴痒1天,因患者处于哺乳期,未使用抗病毒药物,局部涂抹炉甘石洗剂,2周后自愈。

Abstract: The cutaneous lesions of herpes zoster (HZ) are typically limited to a single dermatome, while non-contiguous HZ involving two or more dermatomes is rare. We report 2 cases of atypical disseminated HZ patients and review related literature. A 77-year-old male presented with clustered papules and blisters on the right hip and spread all over the body for 2 days. Through the antivirotic drug, neurotrophic drug and symptomatic treatment, the lesions improved but neuralgia retained. The second patient, 32-year-old female, presented with clustered papules and blisters on the chest and back for 4 days and spread all over the body for 1 day. The patient treated with topical calamine lotion alone because of lactation and the patient self-healed after 2 weeks.