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Algoneurodystrophy following herpes zoster.

O Foster¹, A Askaria, J Lanham

¹Whipps Cross Hospital, Leytonstone, London, UK.

Postgraduate Medical Journal

|July 1, 1989

Summary

Herpes zoster, a viral infection, can trigger algoneurodystrophy, a painful neurological condition. This study presents three cases, highlighting an unusual instance where the affected skin area did not match the limb experiencing algoneurodystrophy.

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Area of Science:

Neurology
Dermatology
Pain Medicine

Background:

Algoneurodystrophy, also known as complex regional pain syndrome (CRPS), often arises after a specific injury or event.
The spectrum of known triggers for algoneurodystrophy is broad, but certain precipitating factors remain under-recognized in clinical practice.

Observation:

This report details three distinct cases where herpes zoster (shingles) preceded the onset of algoneurodystrophy.
In one case, the clinical presentation was atypical, with the affected dermatome (the area of skin supplied by a single spinal nerve) not aligning with the limb exhibiting algoneurodystrophy symptoms.

Findings:

Herpes zoster is identified as a potential, albeit not widely recognized, precipitant of algoneurodystrophy.
The neurological sequelae of herpes zoster can manifest as algoneurodystrophy, even when the typical dermatomal distribution is not observed.

Implications:

Clinicians should consider herpes zoster as a possible trigger for algoneurodystrophy, particularly in patients presenting with unexplained pain and neurological symptoms.
Further research is warranted to understand the mechanisms linking herpes zoster to algoneurodystrophy and to refine diagnostic criteria, especially in atypical presentations.

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