Herpes zoster ophthalmicus: An eye and skin emergency

Authors

  • Zahra Arooba Department of Dermatology, KEMU/ Mayo Hospital, Lahore
  • Amina Khalid Department of Dermatology, KEMU/ Mayo Hospital, Lahore
  • Nasir Chaudhary Department of Ophthalmology, KEMU/Mayo Hospital Lahore
  • Shahbaz Aman Department of Dermatology, KEMU/ Mayo Hospital, Lahore

Keywords:

Varicella Zoster Virus, Herpes Zoster, Ophthalmicus, Encephalitis

Abstract

Herpes Zoster (HZ) is an acute painful infection caused by reactivation of latent Varicella Zoster Virus (VZV) manifesting as a painful vesicular rash in a dermatomal distribution. Herpes Zoster Ophthalmicus (HZO) is implicated with high risk of ocular involvement which can even result in permanent vision loss. We report a case of an elderly female who presented with severe pain on right upper face followed by a papulovesicular rash, was found to have early ocular involvement and later developed the symptoms of encephalitis. Timely diagnosis and prompt treatment resulted in complete recovery in minimal duration. Keywords: Varicella Zoster Virus, Herpes Zoster, Ophthalmicus, encephalitis

References

Patil A, Goldust M, Wollina U. Herpes zoster: a review of clinical manifestations and management. Viruses. 2022;14(2):192.

van Oorschot D, Vroling H, Bunge E, Diaz-Decaro J, Curran D, Yawn B. A systematic literature review of herpes zoster incidence worldwide. Hum Vaccin Immunother. 2021;17(6):1714-32.

Niederer RL, Meyer JJ, Liu K, Danesh-Meyer HV. Herpes zoster ophthalmicus clinical presentation and risk factors for loss of vision.Am J Ophthalmol. 2021;226:83-9.

Schmader KE, Dworkin RH. Natural history and treatment of herpes zoster. J Pain. 2008;9(1):3-9.

Lizzi J, Hill T, Jakubowski J. Varicella zoster virus encephalitis. Clin Pract Cases Emerg Med. 2019;3:380–2.

Nagel MA, Gilden D. Neurological complications of VZV reactivation. Curr Opin Neurol. 2014;27(3):356.

Tuft S. How to manage herpes zoster ophthalmicus. Community Eye Health. 2020;33(108):71.

Gross GE, Eisert L, Doerr HW, Fickenscher H, Knuf M, Maier P, Maschke M, Müller R, Pleyer U, Schäfer M, Sunderkötter C. S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. JDDG: J Dtsch Dermatol Ges. 2020;18(1):55-78.

Minor M, Payne E. Herpes zoster ophthalmicus. InStatPearls [Internet] 2022;25. StatPearls Publishing.

Aithal S, Kuruvila S, Ganguly S. Zosteriform herpes simplex and herpes zoster: A clinical clue. Indian Dermatol Online J. 2013;4(4):369.

Wilber ST. Altered mental status in older emergency department patients. Emerg Med Clin North Am. 2006;24(2):299-316.

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Published

2024-12-31

How to Cite

1.
Arooba Z, Khalid A, Chaudhary N, Aman S. Herpes zoster ophthalmicus: An eye and skin emergency . J Pak Assoc Dermatol [Internet]. 2024Dec.31 [cited 2025Feb.16];34(4 Suppl.):S105-S108. Available from: https://jpad.com.pk/index.php/jpad/article/view/2777

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