AI Summary & Key Takeaways
AI InsightConclusion: HZ may be seen in healthy children with no immunosuppresion and the infection in these patients has a favorable course. (Turkderm 2012; 46: 26-8)
📌 3 Key Takeaways
Abstract
Background and Design: Herpes zoster (HZ) is a rare disease in childhood and encountered especially in immunosuppressed patients. The aim of this study was to determine the clinical features of HZ in children. Materials and methods: Records of 24 children, who had a diagnosis of HZ and were referred to the dermatology and pediatric outpatient clinic during February 2009-February 2011, were evaluated retrospectively. Results: Twenty-four patients, - 14 female (58.3%, 10 male (41.7%) - , aged between 4 and 16 years were assessed. The mean age of the patients was 10.6±3.7 years. The most frequent complaint was pruritus (54.2%). Sixteen patients had thoracic involvement, whilst the rest had lumbar (n: 4), trigeminal (n: 3) and sacral (n: 1) involvements, respectively. Eleven children were distressed and 2 children had physical trauma. Ten patients were treated with acyclovir orally, 3 were given valacyclovir orally and the rest had only local treatment. No complications were reported. Conclusion: HZ may be seen in healthy children with no immunosuppresion and the infection in these patients has a favorable course. (Turkderm 2012; 46: 26-8)
Özet
Amaç: Herpes zoster (HZ) çocukluk çağında nadir olan, özellikle immünsüpresyonu olan hastalarda görülebilen bir hastalıktır. Bu çalışmanın amacı, çocuklarda görülen herpes zoster infeksiyonunun klinik özelliklerini incelemektir. Gereç ve Yöntem: Şubat 2009-Şubat 2011 tarihleri arasında dermatoloji ve pediatri polikliniklerinde HZ tanısı alan 24 çocuk hastanın verileri retrospektif olarak incelendi.Bulgular: 4-16 yas arasındaki 24 çocuk hastanın 14’ü kız (%58,3), 10’u erkekti (%41,7). Hastaların ortalama yaşı 10,6±3,7 yıldı. Hastalarda en sık yakınma kaşıntıydı (%54,2). Onaltı hastada torasik dermatom tutulurken, diğer hastalarda sırasıyla lumbar (n: 4), trigeminal (n: 3) ve sakral (n: 1) tutulumlar izlendi. Hastaların 11’inde stres, 2’sinde travma öyküsü bulunmaktaydı. Tedavi olarak 10 hastaya oral asiklovir, 3 hastaya oral valasiklovir ve 11 hastaya da sadece lokal tedavi verildi. Hastaların hiçbirinde komplikasyon gelişmedi.Sonuç: HZ, immünsupresyonu olmayan sağlıklı çocuklarda da görülebilmektedir ve bu çocuklarda hastalık iyi seyirlidir. (Türkderm 2012; 46: 26-8)