Herpes zoster in adolescence: A clinical case
DOI:
https://doi.org/10.5712/rbmfc10(36)704Keywords:
Herpes Zoster, Herpesvirus 3, Human, VaricellaAbstract
Varicella and herpes zoster (HZ) are distinct clinical entities caused by the varicella-zoster virus (VZV). Varicella is an acute, highly contagious disease that occurs most commonly in childhood as a result of a primary infection in a susceptible individual. HZ occurs years after the first contact with VZV and is characterized by unilateral pain and appearance of vesicles on an erythematous base following the territory of a dermatome, respecting the midline. The main risk factors for HZ are high age and cellular immune dysfunction. We present a case of herpes zoster with extensive and lush lesions, in an immunocompetent individual, with atypical location and uncommon age. The case drew attention by the extent of involvement of the injury, immunocompetent individual and in unusual age.
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Bozko MP, Favaretto SL, Ponzio HA. Infecções pelo Herpesvírus e pelo Vírus Varicela Zoster. In: Duncan BB, Schmidt MI, Giugliani EJR, Duncan MS, Giugliani C, eds. Medicina Ambulatorial. Condutas de atenção primária baseadas em evidências. 3a ed. Porto alegre: Artmed; 2004, p.1020-3.
Sampaio SAP, Rivitti EA. Dermatoses por vírus. In: Sampaio SAP, Rivitti EA, eds. Dermatologia. São Paulo: Artes Médicas; 2007. p.558-61.
Civen R, Chaves SS, Jumaan A, Wu H, Mascola L, Gargiullo P, et al. The incidence and clinical characteristics of herpes zoster among children and adolescents after implementation of varicella vaccination. Pediatr Infect Dis J. 2009;28(11):954-9. DOI:http://dx.doi.org/10.1097/INF.0b013e3181a90b16
Salleras M, Domínguez A, Soldevila N, Prat A, Garrido P, Torner N, et al. Contacts with children and young people and adult risk of suffering herpes zoster. Vaccine. 2011;29(44):7602-5. DOI: http://dx.doi.org/10.1016/j.vaccine.2011.08.023
Rodríguez-Fanjul X, Noguera A, Vicente A, González-Enseñat MA, Jiménez R, Fortuny C. Herpes zoster in healthy infants and toddlers after perinatal exposure to varicella-zoster virus: a case series and review of the literature. Pediatr Infect Dis J. 2010;29(6):574-6.
Wan KS, Su YM. Herpes zoster in a 13-year-old healthy immunocompetent female patient. Med Mal Infect. 2011;41(3): 156-7. DOI:http://dx.doi.org/10.1016/j.medmal.2010.09.017
Uebe B, Sauerbrei A, Burdach S, Horneff G. Herpes zoster by reactivated vaccine varicella zoster virus in a healthy child. Eur J Pediatr. 2002;161(8):442-4. DOI: http://dx.doi.org/10.1007/s00431-002-0981-1
Feder HM Jr, Hoss DM. Herpes zoster in otherwise healthy children. Pediatr Infect Dis J. 2004;23(5):451-7. DOI:http://dx.doi.org/10.1097/01.inf.0000126901.88982.32
Kurlan JG, Connelly BL, Lucky AW. Herpes zoster in the first year of life following postnatal exposure to varicella-zoster virus: four case reports and a review of infantile herpes zoster. Arch Dermatol. 2004;140(10):1268-72. DOI: http://dx.doi.org/10.1001/archderm.140.10.1268
Castro L, Shen S. Zoster: mais frequente entre jovens que entre idosos. An Bras Dermatol. 1990;65(3):129-33.
Guess HA, Broughton DD, Melton LJ 3rd, Kurland LT. Epidemiology of herpes zoster in children and adolescents: a population-based study. Pediatrics. 1985;76(4):512-7. PMID: 3863086
Guedes ACM, Avelleira JCR, Lupi O, Abraham LS, Azulay DR, Azulay-Abulafia L. Doenças virais de interesse dermatológico. In: Azulay DR, Azulay RD, Azulay-Abulafia L. Dermatologia. Rio de Janeiro: Guanabara-Koogan; 2011. p.304-18.
Straus SE, Oxman MN, Schmader FE. Varicella and Herpes Zoster. In: Wolff K, Goldsmith LA, eds. Fitzpatrick’s Dermatology in General Medicine. 7th ed. New York: McGraw-Hill Medical; 2008. p.1885-98.
Whitley RJ. Therapy of herpes virus infections in children. Adv Exp Med Biol. 2008;609:216-32. PMID: 18193668
Smith CG, Glaser DA. Herpes zoster in childhood: case report and review of the literature. Pediatr Dermatol. 1996;13(3): 226-9. PMID:8806124 DOI: http://dx.doi.org/10.1111/j.1525-1470.1996.tb01208.x
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