NATIONAL UNIVERSITY OF CHIMBORAZO

FACULTY OF HEALTH SCIENCES

CAREER OF MEDICINE
CHAIR OF MEDICAL ENGLISH

HERPES ZOSTER

NAME: Sthefania Rojas

 Definition
Acute, self-limited, infectious disease.
Reactivation of varicella-zoster virus (VZV)
or HHV-3,
Sudden onset in skin and peripheral nerves,
following a dermatomal nerve trajectory.

Location of
Intercostal
pathology: Facial
Lumbo-sacral
Extremities
 Intercostal

Lumbar
Facial
Extremities
 Etiopathogenesis

- Secondary infection or
reactivation of latent infection
- Mechanisms of reactivation are
not well understood
- T-lymphocyte depletion is
associated with reactivation
(malignancies, transplantation,
AIDS, advanced age).
- Adenitis and transient
viremia are observed at
baseline
- Acute inflammatory
response and neuronal
necrosis,
hypersensitivity and
pain.
Second phase of
replication identical
to chickenpox.

• Herpes zoster is
less contagious
 Clinic
Dermatoma; it is very frequent in the branches of the
middle part of the thorax and in the upper lumbar (T3-
L2).
Start Hyperesthesia
Allodynia
Intercostal 53%.
2 to 4 days Skin lesions appear suddenly, almost never
exceeding half of the body.
12 to 24 few or abundant vesicles 2 to 3 mm in
hours diameter on an erythematous base
In racemes
3 to 4 days desiccate or turn into pustules
7 to 10 days leave ulcerations and meliceric crusts
POSTHERPETIC
NEURALGIA

Is the most common

complication of herpes
zoster, they are very
strong pains that end
with treatments such as
cryoanalgesia or
cordotomy.
 Treatment

Not required, mainly in children and young

people
Added infection: mild antiseptics.
Relief of symptoms
Analgesics
Thanks..