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Herpes zoster.

D E Yardley, R A Schwartz, H G Adams

American Family Physician

|December 1, 1983

Summary

This summary is machine-generated.

Herpes zoster, or shingles, can be serious, especially for the elderly or immunocompromised. Antiviral treatment with vidarabine and corticosteroids may help manage this potentially debilitating viral infection.

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Area of Science:

Infectious Diseases
Virology
Dermatology

Background:

Herpes zoster (shingles) is typically self-limiting but can lead to severe complications.
Ocular involvement and postherpetic neuralgia are significant concerns.
Therapeutic approaches can be complex and confusing.

Purpose of the Study:

To review the complications and treatment of herpes zoster.
To highlight patient populations at higher risk for dissemination and severe outcomes.
To discuss the role of antiviral and corticosteroid therapies.

Main Methods:

Literature review of herpes zoster management.
Analysis of risk factors for disease dissemination.
Evaluation of current therapeutic options.

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Main Results:

Dissemination of herpes zoster is more frequent in immunosuppressed, elderly, and febrile individuals.
Vidarabine is the sole approved antiviral agent for herpes zoster.
Corticosteroids may offer benefits in specific patient cases.

Conclusions:

Herpes zoster management requires careful consideration of potential complications.
Vidarabine offers a treatment option for antiviral therapy.
Individualized treatment plans, potentially including corticosteroids, are important for selected patients.