Herpes Zoster in Healthy Children: A Retrospective Study

Tepe, Birgül; Bucak, İbrahim Hakan; Almış, Habip

doi:10.4274/tdd.2878

Cited by 7 publications

(9 citation statements)

References 8 publications

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“…PHN is less frequent in the pediatric age group. PHN was not observed in the pediatric age group in studies from our country and other countries 6,14,16,19 . Similarly, we also did not detect PHN in the pediatric age group.…”

Section: Discussioncontrasting

confidence: 55%

Evaluation of demographic and clinical characteristics of 166 patients with herpes zoster in the Kırşehir region

Acer¹,

Erdoğan²,

Bulur³

et al. 2018

TURKDERM

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Amaç: Herpes zoster (HZ) dorsal kök ganglionlarında latent kalan varisella zoster virüsün reaktive olmasıyla ortaya çıkar. Literatürde ülkemizde ve dünyada HZ'nin sosyo-demografik ve klinik özelliklerini değerlendiren çalışmalar vardı ancak bölgemizde yapılan bir çalışma yoktu. Çalışmamızda HZ tanısı konulan hastaların klinik ve demografik özelliklerini incelemeyi ve Türkiye ve dünyadaki diğer epidemiyolojik çalışmalarla benzerlik ve farklılıklarını araştırmayı amaçladık. Gereç ve Yöntem: Ocak 2015-Aralık 2016 tarihleri arasında dermatologlar tarafından HZ tanısı konulan 166 hasta çalışmaya dahil edildi ve olası komplikasyonlar açısından 3 ay boyunca takip edildi. Hastaların demografik ve klinik özellikleri kaydedildi. Bulgular: Hastaların yaşları 1 ile 90 yaş arasında değişmekteydi (ortalama yaş: 51,48±21,05). Hastaların 81'i (%52,4) kadın, 79'u (%47,6) erkekti. Hastaların 13'ü (%7,8) pediatrik yaş grubunda (<18) idi. Hasta başvuruları aralık ayında en yüksek, mart ayında en düşük seviyedeydi. En sık etkilenen bölgeler torasik (76 hasta, %45,8) ve lumbar (40 hasta, %24,1) idi. Lezyonlar, 96 hastada (%57,8) vücudun sol tarafında, 70 hastada (%42,2) sağ tarafında gözlendi. En sık tetikleyici faktör emosyonel stresdi. En sık görülen komplikasyon postherpetik nevraljiydi ( 46Background and Design: Herpes zoster (HZ) occurs by reactivation of the latent varicella zoster virus at dorsal root ganglia. In the literature, there are studies on socio-demographic and clinical characteristics of patients with HZ in our country and in the world, however, there has been no study performed in our region. We aimed to evaluate demographic and clinical characteristics of patients with HZ and to investigate differences and similarities with other epidemiological studies in Turkey and in the world. Materials and Methods: One hundred sixty-six patients clinically diagnosed with HZ by dermatologists between January 2015 and December 2016 and were followed for 3 months in terms of possible complications were included this study. Demographic and clinical characteristics of the patients were recorded. Results: The mean age of the patients was 51.48±21.05 (1-90) years. Eighty-seven patients were female (52.4%), 79 were male (47.6%). Thirteen patients (7.8%) were in the pediatric age group (<18). The frequency of patient admission was highest in December and lowest in March. The most frequent locations of the lesions were thoracic (76 patients, 45.8%) and lumbar (40 patients, 24.1%) regions. The lesions were on the left side of the body in 96 (57.8%) and right side in 70 (42.2%) patients. The most frequent triggering factor was emotional stress. Post-herpetic neuralgia (27.7%) was the most frequently seen complication. The most common systemic comorbidity was hypertension. Malignancy was present in only 3 patients (1.8%). Conclusion: Our data were highly comparable with other studies. However, occurrence of HZ mostly during the winter and in the left side of the body was the difference from other studies. We conclude that further country-w...

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Section: Discussioncontrasting

confidence: 55%

Evaluation of demographic and clinical characteristics of 166 patients with herpes zoster in the Kırşehir region

Acer¹,

Erdoğan²,

Bulur³

et al. 2018

TURKDERM

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“…10 Literatürde hastalığın cinsiyet predominansı göstermediğine yönelik veriler bulunmakla birlikte, ülkemizden yapılan bazı çalışmalarda erkek çocuklarda daha sık saptandığı bildirilmiştir. 10,11 Bu çalışmada, olguların %53,6'sı erkekti.…”

Section: Discussionunclassified

“…8 olarak bildirirken, bu çalışmada da hastalığın ortalama görülme yaşı ulusal literatürle benzerdi. 11,12 Hastalık, suçiçeği sonrası ortaya çıkabileceği gibi varisella aşısı sonrası da görülebilir. Aşının virüse karşı hücresel bağışıklığı artırıp virüsün reaktivasyonunu ve HZ gelişimini önleyebildiği ya da hafif semptomlarla atlatılmasına destek olduğuna yönelik uluslararası yayınlar bulunmakla birlikte, HZ prevalansına etkisinin olmadığını bildiren çalışmalar da mevcuttur.…”

Section: Discussionunclassified

“…14 Diğer bir risk faktörü, immün sistemin yeterince olgunlaşmadığı, bu nedenle virüse yetersiz immün yanıtın gözlendiği ilk yılda VZV'ye maruz kalmaktır. 11,15 Bu dönemde, VZV'ye bağışık anneden bebeğe geçen maternal antikorlar, VZV ile karşılaşmış infantın varisellayı subklinik geçirmesine neden olabilir. 15 Bu çalışmada, VZV'ye in utero maruziyet hikâyesi olan olgu yoktu.…”

Section: Discussionunclassified

“…1,6 Literatürde pediyatrik popülasyonda acı/yanma şikâyetinin hastalığa daha az eşlik ettiğini bildiren çalışmalar olsa da bu çalışmada olguların yarısından fazlası acı/yanma tariflerken, yaklaşık 1/4'ü asemptomatikti. 1,6,11 Bu durumun, çalışmaya dâhil edilen hasta popülasyonu yaş ortalamasının görece yüksek ve çoğunluğunun adölesan grup olmasıyla ilişkili olabileceği düşünüldü.…”

Section: Discussionunclassified

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Herpes Zoster in Children: A Retrospective Study

AKBAYRAK

2023

Turkiye Klinikleri J Dermatol

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Altta yatan Komorbiditeleri Olan Çocuklarda Herpes Zoster: 10 Yıllık Retrospektif Tek Merkez Deneyiminin Değerlendirilmesi

Çay

Barutçu

Gündeşli̇oğlu

et al. 2022

Journal of Contemporary Medicine

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It was aimed to evaluate the complications and prognosis of pediatric patients diagnosed with Herpes zoster (HZ) with an underlying comorbidity. Material and Method: Between 01.01.2011-01.01.2021 in our clinic; patients aged 0-18 years, with underlying comorbidities and diagnosed with HZ, who were followed up and treated, were evaluated retrospectively. A total of 45 patients were included in the study. Sociodemographic characteristics, clinical findings, treatments applied during hospitalization, complications developed during follow-up and prognosis were obtained from hospital file archive records. Results: The mean age was 9.25±4.79 years, and 53.4% of patients were male. The most common symptom was rash, followed by pain and itching. Most commonly, 23 (51.1%) patients had thoracic dermatome involvement. Dissemination did not develop in any of the patients. 11.1% of the patients had chickenpox, 6.6% had Varicella vaccine, and 44.4% had no history of Varicella Zoster Virus transmission. Acute leukemia and having had a bone marrow transplant were the most common co-existing conditions. Median time between onset of symptoms and diagnosis was 3 (min-max=1-10) days. Median length of hospitalization was 7 (min-max=3-21) days, and the mean total treatment time was 9.33±3.58 days. It was determined that only four patients developed secondary skin infection, 44 patients were cured, and 1 patient died due to the primary disease. Conclusion: While HZ is rare in healthy children, it can progress with serious complications in those with an underlying disease. To consider HZ in differential diagnosis of vesicles in immunocompromised patients, to start treatment with early diagnosis; It is of great importance in terms of complications and prognosis that may develop.

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Herpes Zoster in Healthy Children: A Retrospective Study

Cited by 7 publications

References 8 publications

Evaluation of demographic and clinical characteristics of 166 patients with herpes zoster in the Kırşehir region

Evaluation of demographic and clinical characteristics of 166 patients with herpes zoster in the Kırşehir region

Herpes Zoster in Children: A Retrospective Study

Altta yatan Komorbiditeleri Olan Çocuklarda Herpes Zoster: 10 Yıllık Retrospektif Tek Merkez Deneyiminin Değerlendirilmesi

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