Diagnostik und Management des Herpes zoster ophthalmicus

Werner, Ricardo Niklas; Steinhorst, N.-I.; Nast, Alexander; Pleyer, Uwe

doi:10.1007/s00347-017-0562-3

Cited by 12 publications

(3 citation statements)

References 54 publications

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“…Patients with HZO were selected according to the guideline of Werner RN if they had a typical rash of herpes zoster with primary diagnosis of HZO. 8 Patients without typical skin rash or non-v1 HZ were excluded. We identified 1105 participants through the search, of which 916 were excluded as they either did not have V1 nerve involvement or did not exhibit typical skin rash.…”

Section: Methodsmentioning

confidence: 99%

Herpes Zoster Ophthalmicus Clinical Presentation and Risk Factors for Lesion Recovery

Xiao,

Wu,

Chen

et al. 2023

CCID

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Purpose Herpes zoster ophthalmicus (HZO) causes trouble in patients’ daily life and work. In severe cases, it may even lead to a decrease or loss of vision. To understand the demographic information and ocular symptoms of hospitalized patients with HZO, and to find potential factors related to improvement time of skin rash and duration of ocular symptoms at discharge, we design this study. Patients and Methods This is a retrospective study. All patients diagnosed with HZO who were hospitalized in the Department of Dermatology of a hospital in Chongqing, China from January 1, 2015 to December 30, 2021 were included in this study. A total of 189 patients were included in this study. Clinical manifestations of the disease during hospitalization, improvement time of ocular skin lesions, and whether ocular skin lesions disappeared completely at discharge were recorded. Results The most common ocular symptom was eyelid swelling (92.6%), followed by eye pain (48.7%). The most common ocular sign was conjunctivitis (78.3%), followed by keratitis (15.9%). There were 149 cases without residual ocular symptoms and 40 cases with residual ocular symptoms. There was no statistically significant difference in demographic characteristics between the two groups (P>0.05). Age ≥70 years (B=0.381, −0.061~0.022, P=0.005), use of glucocorticoids (B=0.260, 0.024~0.496, P=0.031), and use of topical antiviral drugs (B=0.380, 0.054~0.705, P=0.023) were factors affecting the time interval from admission to improvement of skin rash. Tearing (HR, OR=4.827, 1.956~11.909, P<0.001) and blood urea nitrogen (OR=0.787, 0.620–1.000, P=0.050) were factors influencing residual ocular symptoms. Conclusion This study could help clinicians gain a deeper understanding of the clinical manifestations and partial influencing factors of HZO patients, which may contribute to future clinical work.

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Section: Methodsmentioning

confidence: 99%

Herpes Zoster Ophthalmicus Clinical Presentation and Risk Factors for Lesion Recovery

Xiao,

Wu,

Chen

et al. 2023

CCID

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“…Herpes zoster ophthalmicus is estimated to account for up to 20% of all herpes zoster (HZ) cases. It typically present as severely painful, grouped vesicles in a dermatomal distribution over the skin that are innervated by the ophthalmic branch of the trigeminal nerve 8 …”

Section: Infectionsmentioning

confidence: 99%

Ocular manifestations of dermatological diseases part I: infectious and inflammatory disorders

2020

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Skin and eyes share a common embryological origin from the embryonic surface ectoderm. Ocular manifestations are one of the most important and common associations of dermatological diseases. Currently, there are few comprehensive reviews of the ocular manifestations of dermatological diseases. We have reviewed more than 40 published articles related to the ocular manifestations of the most important dermatological diseases. The search included Pubmed, Google Scholar, and Cochrane databases from 2014 to 2019. This review was divided into three parts including infections, inflammatory, genetics, connective tissue, autoimmune, neoplasms, and drug-related disorders. We excluded metabolic, endocrine, and nutrition-related dermatological diseases. The relationship of ocular manifestations and dermatological diseases is important to recognize for appropriate management since many dermatological diseases can manifest initially with ocular findings. In this part, we summarized the most common and significant ocular findings in infectious and inflammatory dermatological disorders with appropriate referral recommendations to ophthalmology.

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“…Es empfiehlt sich sehr sorgfältig nach den ersten anfangs noch diskreten Effloreszenzen zu suchen. Bei schweren Verläufen können auch hier begleitende Ausfälle der ophthalmologischen Hirnnerven mit Visusminderung, Doppelbildern und ophthalmologischen Komplikationen (Glaukom, Hornhautulzera) auftreten [39,40].…”

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Kopfschmerzen in der Notaufnahme – Schritt für Schritt

Förderreuther¹,

Straube²

2020

Neuro u2d

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Kopfschmerzen gehören zu den häufigsten Symptomen, die in der Notfallambulanz beklagt werden. Kopfschmerzen sind immer dann ein medizinischer Notfall, wenn sie Symptome einer potenziell lebensbedrohlichen Erkrankung sind oder wenn bei verspätetem Beginn der Behandlung bleibende Schäden resultieren könnten. Kopfschmerzen, die diese Kriterien erfüllen, sind meist sekundäre, d. h. symptomatische Kopfschmerzen. Primäre Kopfschmerzerkrankungen, die insgesamt über 90 % der Kopfschmerzen im täglichen Alltag ausmachen, führen Patienten in die Notaufnahme, wenn die Kopfschmerzen selbst oder begleitende neurologische Symptome, wie zum Beispiel eine Migräneaura so nicht vorbekannt sind und die Sorge schüren, es könne ein Schlaganfall vorliegen. Häufiger führen primäre Kopfschmerzerkrankungen Patienten wegen hoher Schmerzintensität und unzureichender Wirkung der Akutmedikation in Notfallambulanzen. Schwerwiegende neurologische Erkrankungen mit dem Leitsymptom Kopfschmerz machen je nach Literaturstelle zwischen 1 und 16 % der Patienten aus [1]. Etwa 30 -40 % der Patienten haben nicht neurologische, systemische Erkrankungen. Sekundäre Kopfschmerzerkrankungen machen in den Notfallambulanzen 25 -55 % der Patienten aus. Eine Analyse der Kopfschmerzdiagnosen einer amerikanischen Notaufnahme bei 244 Patienten ergab primäre Kopfschmerzen bei ca. 60 % und sekundäre bei 32 %. Bei 8,6 % konnte keine eindeutige Klassifikation erfolgen [2]. In einer spezialisierten neurologischen Notaufnahme waren Kopfschmerzen mit 13 % die zweitgrößte Gruppe nach den zerebro-vaskulären Erkrankungen [3]. Von den Kopfschmerzpatienten konnten ca. 17 % nicht ambulant behandelt werden.Kopfschmerzen in der Notaufnahme -

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Diagnostik und Management des Herpes zoster ophthalmicus

Cited by 12 publications

References 54 publications

Herpes Zoster Ophthalmicus Clinical Presentation and Risk Factors for Lesion Recovery

Herpes Zoster Ophthalmicus Clinical Presentation and Risk Factors for Lesion Recovery

Ocular manifestations of dermatological diseases part I: infectious and inflammatory disorders

Kopfschmerzen in der Notaufnahme – Schritt für Schritt

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