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

Détails

ID Serval
serval:BIB_3FCE3A7B17B9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
An unusual presentation of herpes zoster ophthalmicus: orbital myositis preceding vesicular eruption
Périodique
American Journal of Ophthalmology
Auteur⸱e⸱s
Kawasaki  A., Borruat  F. X.
ISSN
0002-9394 (Print)
Statut éditorial
Publié
Date de publication
09/2003
Volume
136
Numéro
3
Pages
574-5
Notes
Case Reports
Journal Article --- Old month value: Sep
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 12:37
Dernière modification de la notice
20/08/2019 13:37
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