Management of herpes zoster and postherpetic neuralgia

Tyring, Stephen K.

doi:10.1016/j.jaad.2007.09.016

Cited by 82 publications

(46 citation statements)

References 30 publications

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“…Pharmacological therapies include anticonvulsants, gabapentin and pregabalin, lidocaine patch, capsaicin cream, opioid analgesics and tricyclic antidepressants, which have been used and resulted in various outcomes 26 . In addition, interventional strategies such as sympathetic nerve blocks, spinal cord stimulation and surgical treatments have been used for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to other modalities used for the management of PHN, both the lidocaine patch and the piroxicam patch have many advantages 9,11,26 . They are easy to apply and remove, and comfortable to wear under clothing for a long duration of time with a low frequency of skin irritation 9,11,26 . In addition, by padding and protecting the painful areas from contact, patients with PHN were able to wear clothes more comfortably with these patches.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Piroxicam Patch Compared to Lidocaine Patch for the Treatment of Postherpetic Neuralgia

et al. 2011

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Background:The lidocaine patch has been effectively used as a first-line therapy to treat neuropathic pain such as postherpetic neuralgia (PHN). Objective: To evaluate the safety and efficacy of the topical piroxicam patch as a treatment option for the treatment of PHN. Methods: Eighteen patients completed a 3-session study, applying three different patches (lidocaine, piroxicam and control) in random order. A maximum of three patches were applied to the most painful area for three consecutive days (12 hours on followed by 12 hours off). Each session was conducted at least seven days apart. The changes in visual analog scale (VAS) scores based pain intensity, quality of sleep and adverse effects were recorded. Results: When compared to the control, both the lidocaine and piroxicam patches significantly reduced the mean VAS scores of pain intensity of all different types. However, the lidocaine patch was better at reducing allodynia, whereas the piroxicam patch was more effective for dull pain. The lidocaine patch worked faster than the piroxicam patch for the response to overall pain relief. Conclusion: The results of this study suggest the use of the piroxicam patch for dull pain and in patients where the lidocaine patch is contraindicated. (Ann Dermatol 23(2) 162∼169, 2011)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Efficacy of Piroxicam Patch Compared to Lidocaine Patch for the Treatment of Postherpetic Neuralgia

et al. 2011

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“…The antiviral drugs are often used both as prophylaxis and as therapy during the acute phase. Acyclir has been the standard treatment for our patient but she was also administered with valacyclovir, a new drug known to demonstrate similar or even superior efficacy 14) . The patient was also intravenously injected with acyclovir since it is known method to reduce complications in immunocompromised individuals with HZ.…”

Section: A B C D E Fmentioning

confidence: 99%

Clinical Diagnosis and Treatment of Herpes Zoster in an Immunocompromised Dental Patient: A Case Report

Kim

Ahn²,

Kim³

2014

Journal of Korean Dental Science

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cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Herpes zoster (HZ) is an acute, unilateral inflammatory viral infection characterized by a rash with painful blisters in a localized area of the body. HZ is often associated with intense pain in the acute phase and presents postherpetic neuralgia in the chronic phase. During the prodromal stage of the HZ from the trigeminal nerve, however, the only presenting symptom may be odontalgia, which could be particularly difficult to diagnose. This distinctive syndrome occurs predominantly in the immunocompromised or elderly individuals. In this article, we report a case of HZ developed in the trigeminal nerve of a 60-year-old immunocompromised female patient, whose symptoms including atypical, non-odontogenic odontalgia had improved after series of antiviral treatments.

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“…Herpes zoster geçiren hastaların %10-70'inde PHN görülür (23)(24)(25)(26)(27). Yapılan bir epidemiyolojik çalışmada 50 yaş üstü olgularda %10-20, 80 yaş üstü olgularda %30 oranında PHN saptanmıştır (28).…”

Section: Gereç Ve Yöntemunclassified

Evaluation Of Hospitalized Herpes Zoster Cases

Köse¹,

Atalay²,

Gül³

et al. 2013

Tepecik Dergisi

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Findings: Twenty three patients were included in the study. 17 (73.91%) patients were male, the mean age was 64.08 years. . Twelve(52.18%) of them were 65 years or older. The most frequent risk factor was diabetes mellitus and the most frequent complication was bacterial superinfection. Conclusions:Early diagnosis and treatment of herpes zoster is important especially in diabetic and elderly patients due to high morbidity. Cases in high risk groups should be vaccinated.

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Management of herpes zoster and postherpetic neuralgia

Cited by 82 publications

References 30 publications

Efficacy of Piroxicam Patch Compared to Lidocaine Patch for the Treatment of Postherpetic Neuralgia

Efficacy of Piroxicam Patch Compared to Lidocaine Patch for the Treatment of Postherpetic Neuralgia

Clinical Diagnosis and Treatment of Herpes Zoster in an Immunocompromised Dental Patient: A Case Report

Evaluation Of Hospitalized Herpes Zoster Cases

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