Oral shingles

Hagiya, Hideharu; Nakagami, Futoshi; Isomura, Emiko Tanaka

doi:10.1136/bcr-2018-228383

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Because pulpitis, pericoronitis, and apical periodontitis are frequently encountered entities in the practice of dentistry and endodontics, it is predictable that patients with prodromal orofacial herpes zoster may undergo unnecessary nonsurgical and surgical interventions to treat one of these more common conditions [10] [15] [16].…”

Section: Discussionmentioning

confidence: 99%

Odontogenic Herpes Zoster Infection: A Case Report and Review

Maska¹,

Trent²,

Lemos³

et al. 2022

CRCM

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Herpes zoster is a commonly encountered entity of which all clinicians should be aware. The diagnosis is most often considered and made based on a characteristic vesicular rash that presents in a unilateral dermatomal distribution and is usually accompanied by a painful neuritis. Not uncommonly, the pain presents a few days before the rash becomes evident and may even occur without the rash appearing. When this happens patients may be subject to further diagnostic testing seeking alternative diagnoses, as herpes zoster is known to mimic a variety of other non-cutaneous organ system entities. Although the thoracic and lumbar dermatomes are the affected most frequently, in approximately one-fifth of cases the cranial nerves are involved either singularly or in combination. Trigeminal nerve zoster is of particular concern as it poses a risk of developing into zoster ophthalmicus with subsequent keratitis and uveitis resulting in permanent vision impairment. Involvement of the second (maxillary) and third (mandibular) branches of this 5 th cranial nerve are less common and may present with signs and symptoms of a primary dental process. The infrequency and unfamiliarity of herpes zoster odontogenic manifestations can lead to unnecessary investigation and treatment. Apropos such a case we review the epidemiology, pathophysiology, signs, and symptoms of odontogenic herpes zoster.

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Section: Discussionmentioning

confidence: 99%

Odontogenic Herpes Zoster Infection: A Case Report and Review

Maska¹,

Trent²,

Lemos³

et al. 2022

CRCM

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“…He took valacyclovir because we diagnosed him with mandibular shingles, but three days later, the shingles had spread to the auditory nerve in addition to the mandibular nerve (disseminated herpes zoster). In previously reported cases of oral shingles ( 1 , 2 ), only 1 nerve was affected, and the cases were all over 50 years of age. Shingles is rare before 50 years of age ( 3 ), thus suggesting a decreased cellular immunity in this patient.…”

mentioning

confidence: 82%

Shingles on the Tongue

et al. 2020

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“…3,4 It can also present by mimicking odontogenic pain. 3,5 Early diagnosis allows rapid treatment initiation, accelerating acute neuritis resolution. 6 Postherpetic neuralgia is the main complication of herpes zoster, defined as a persistent neuropathic pain restricted to the affected dermatome after the resolution of the initial symptoms.…”

Section: Oral Cavity Herpes Zoster: a Rare Presentation Of Shinglesmentioning

confidence: 99%