The clinical manifestation of senile herpes zoster
Before the onset of stage, usually have fever, fatigue, rash site will pain, burning sensation, trigeminal nerve herpes zoster can appear toothache. The disease is the most common abdominal and thoracic or lumbar herpes zoster, accounting for the entire lesion in 70%, followed by the trigeminal nerve herpes zoster, accounting for about 20%, three branches of the trigeminal nerve damage along the. But people over the age of 60, trigeminal nerve is more prone to spinal nerve.
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Herpes at the beginning of facial skin with irregular or elliptic erythema, a few hours after the blisters in erythema, gradually increased and as bullae, serious person can as a blood blister, secondary infection is for. A few days later, blister plasma opacity absorption, eventually a scab, 1 ~ 2 weeks of operation, the legacy of the pigment faded, generally do not leave scar, damage is not beyond the midline. The elderly usually 4 ~ 6 weeks of the course, there are more than 8 weeks.
Oral mucosa, herpes and more intensive, the ulcer area is larger, lip, tongue, buccal, palatal lesions are limited to one side. The first except extra, involving the eye mucosa, skin and even blindness; second, involving the lip, palate and lower temporal malar, infraorbital; third involving the tongue, lip, cheek and chin skin.
In addition, the virus geniculate ganglion can appear the external auditory canal or tympanic membrane bleb, geniculate ganglion involvement while the infringement of motor and sensory nerve fibers of the facial nerve, manifested as facial paralysis, earache and external auditory meatus herpes triad, known as Ramsay-Hunt syndrome.
Herpes zoster is often accompanied by pain, but disappeared completely in the skin and mucous membrane lesions disappeared within 1 months, a few patients sustained for more than 1 months, called postherpetic neuralgia of the left, is common in elderly patients, there may be more than half a year.
