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치성동통과 유사한 증상을 나타내는 Herpes zoster의 임상적 진단

Clinical Diagnosis of Herpes Zoster Presenting as Odontogenic Pain

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초록

Herpes zoster, an acute viral infection produced by the varicella zoster virus, may affect any of the trigeminal branches. This case report presents a patient with symptoms mimicking odontogenic pain. No obvious cause of the symptoms could be found based on clinical and radiographic examinations. After a dermatologist made a diagnosis of herpes zoster involving the third trigeminal branch, the patient was given antiviral therapy. Two months later, the facial lesions and pain had almost disappeared, and residual pigmented scars were present. During the diagnostic process, clinicians should keep in mind the possibility that orofacial pain might be related to herpes zoster.

Abstract

Herpes zoster, an acute viral infection produced by the varicella zoster virus, may affect any of the trigeminal branches. This case report presents a patient with symptoms mimicking odontogenic pain. No obvious cause of the symptoms could be found based on clinical and radiographic examinations. After a dermatologist made a diagnosis of herpes zoster involving the third trigeminal branch, the patient was given antiviral therapy. Two months later, the facial lesions and pain had almost disappeared, and residual pigmented scars were present. During the diagnostic process, clinicians should keep in mind the possibility that orofacial pain might be related to herpes zoster.

참고문헌 (12)

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  3. Ragozziuo MW, "Population-based study of herpes zoster and its sequelae", Medicine(Baltimore), 61, pp.310~316 (1982)
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  7. Ragozzino MW, "Population-based study of herpes zoster and its sequelae", Medicine (Baltimore), 61, pp.310~316 (1982)
  8. Carmichael JK, "Treatment of herpes Zoster and postherpetic neuralgia", Am Fam Physician, 44, pp.203~210 (1991)
  9. Strommen GL, "Human infection with herpes zoster: etiology, pathophysiology, diagnosis, clinical course, and treatment", Pharmacotherapy, 8, pp.52~68 (1998)
  10. Sigurdsson A, "Herpes zoster infection presenting as an acute pulpiti", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 80, pp.92~95 (1995)
  11. Ragozziuo MW, "Population-based study of herpes zoster and its sequelae", Medicine (Baltimore), 61, pp.310~316 (1982)
  12. Tidwell E, "Herepes zoster of the trigeminal nerve third branch: a case report and review of the literature", Int Endod J, 32, pp.61~66 (1999)

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