Zoster（带状疱疹）课件.pptVIP

Treatment Rest Antivirival therapy: acyclovir (ACV) 0.8 5 times daily valacyclovir(VCV) 1.0 3 times daily famciclovir (FCV) 0.5 3 times daily for 7 days In ophthalmic zoster , disseminated zoster, Ramysay Hunt Syndrome, patients failing in oral therapy, intravenous ACV should be used. Vitamin B: help to relief the inflammation of the involved nerve and relief the pain. VitB1 25mg po tid VitB12 0.5mg im qd Analgesic: Aspirin Indomethacin Gabapentin Pregabalin Amitriptyline Improving immune function: transfer factor thymic peptide Systemic corticosteroid therapy prednisone 10mg tid(4-7days) Physical therapy Topical therapy anti inflammationdry the lesions Conclusion Definition Pathogen Pathogenesis Clinical manifestations Diagnosis and misdiagnosis Treatment Herpes Zoster Department of?Dermatology and Venereology Du Maotao 2014-11-28 Papule Review Plaque Do you know the following skin lesions ? Review Bulla Do you know the following skin lesions ? Vesicle Skin lesions just like letters.?Without them,?we?will not be able to?read?the literature?of skin. ——Dr. Darier How to describe this lesion ? Herpes Zoster Definition Herpes zoster is caused by Varicella - Zoster virus (VZV) , classically occurs unilaterally within the distribution of a sensory nerve, being characterized by clustered vesicles and considerable neuralgia. Pathogen and Pathogenesis Pathogen Varicella-Zoster virus (VZV) is characterized by neurotropism and dermatotropism. It soon lose activity in the dry enviro