An unusual presentation of herpes zoster ophthalmicus: orbital myositis preceding vesicular eruption

Details

Serval ID
serval:BIB_3FCE3A7B17B9
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
An unusual presentation of herpes zoster ophthalmicus: orbital myositis preceding vesicular eruption
Journal
American Journal of Ophthalmology
Author(s)
Kawasaki  A., Borruat  F. X.
ISSN
0002-9394 (Print)
Publication state
Published
Issued date
09/2003
Volume
136
Number
3
Pages
574-5
Notes
Case Reports
Journal Article --- Old month value: Sep
Abstract
PURPOSE: To present a case of orbital myositis associated with herpes zoster ophthalmicus. DESIGN: Observational case report. METHODS: A 47-year-old woman with acute retrobulbar eye pain and diplopia preceding the vesicular rash of herpes zoster ophthalmicus was evaluated and treated. RESULTS: Magnetic resonance imaging showed enlargement and enhancement of extraocular muscles consistent with an inflammatory myopathy. Following acyclovir and prednisone treatment, all symptoms resolved, and neuralgia did not develop. CONCLUSIONS: Herpes zoster may cause symptoms and signs of orbital myositis before eruption of cutaneous skin lesions and thus should be considered in the differential diagnosis of an acute orbital myositis.
Keywords
Acyclovir/therapeutic use Anti-Inflammatory Agents/therapeutic use Antiviral Agents/therapeutic use Diplopia/diagnosis Drug Therapy, Combination Female Granuloma, Plasma Cell, Orbital/*diagnosis/drug therapy/etiology Herpes Zoster Ophthalmicus/complications/*diagnosis/drug therapy Humans Magnetic Resonance Imaging Middle Aged Oculomotor Muscles/*pathology Pain/complications Prednisone/therapeutic use
Pubmed
Web of science
Create date
28/01/2008 12:37
Last modification date
20/08/2019 13:37
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