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著者:Mark Bisanzo and Kurt Eifling
 
Abstract
A practical discussion of herpes zoster as seen in emergency medicine practice.
 
Keywords
Bell palsy
clear vesicles
crusting
dermatomal rash
dermatome
dysesthesia
erythematous base
herpes zoster ophthalmicus
Herpes zoster
Hutchinson sign
hypersensitivity
multidermatomal zoster
neurologic pain
ocular lesions
postherpetic neuralgia
Ramsay Hunt syndrome
risk factors
secondary infection
shingles
Tzanck test
unilateral disease
varicella-zoster vaccine
Zostavax
zoster oticus
zoster sine herpete

Presentation  
    The most common presentation is a dermatomal rash and pain. Prodromal symptoms, which occur infrequently, may include malaise, nausea and vomiting, headache, and photophobia. Less commonly there may be fever. During the prodromal stage, which can last several days, patients commonly experience preherpetic neuralgia.
     
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