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Herpes Zoster
Most cases >55 years, immunosuppressed
Lifetime incidence 10-20%
Prodromevesiculationcrustingpost-herpetic neuralgia (PHN)
Morbidity
- Disseminated zoster (10% healthy patients)
- Post-herpetic neuralgia
- Scarring
- Recurrent zoster (immunosuppressed)
- Motor neuropathy
Notes:
Diminishing immunity to VZV
50% pts pain-free at 50 days; 95% at 6months…1-2% with PHN persistent beyond 6months