Herpes Zoster

Question 1

Herpes zoster

Answer 1

An acute vesicular irruption due to infection with varicella zoster virus, may be life-threatening in immunocompromised adults

Question 2

Signs and symptoms of herpes Zoster

Answer 2

• pain along a dermatomal distribution, usually on the trunk
  Grouped vesicle irruption of erythema and exudate along the dermatomal pathway
  Regional lymphadenopathy may be present

Question 3

Management of herpes zoster

Answer 3

Acyclovir
If suspected ocular involvement, immediate referral to ophthalmologist
Post herpetic neuralgia: gabapentin, Lyrica
Shingrix: all adults > 50 2nd does 2-6 months after the first