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Shingles developing within recent surgical scars.

A F Nikkels1, G E Piérard

  • 1Department of Dermatopatholgy, University Medical Center of Liège, Belgium.

Journal of the American Academy of Dermatology
|July 30, 1999
PubMed
Summary
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Shingles (herpes zoster) can occur on surgical scars, a phenomenon previously unreported. Researchers identified the varicella zoster virus in patients, suggesting local injury may trigger this localized shingles outbreak.

Area of Science:

  • Dermatology
  • Virology

Background:

  • Varicella (chickenpox) and recurrent herpes simplex virus (HSV) infections are known to occur at sites of skin trauma.
  • Herpes zoster (shingles) typically presents with a dermatomal distribution but has not been previously reported to specifically affect injured skin sites.

Observation:

  • Two patients presented with herpes zoster (shingles) exclusively affecting the skin on and around recent surgical scars.
  • Varicella zoster virus (VZV) was confirmed via immunohistochemistry on skin biopsy and Tzanck smear specimens from the affected scar sites.

Findings:

  • This case series suggests that herpes zoster can manifest specifically at the site of prior skin injury, such as surgical scars.
  • The localized occurrence of shingles on surgical scars may be underdiagnosed due to misdiagnosis or lack of recognition.

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Implications:

  • Further research is needed to determine if local skin injury, like surgical scarring, specifically triggers herpes zoster or if these occurrences are coincidental.
  • Recognizing shingles in surgical scars could improve diagnosis and patient management for localized VZV reactivation.