As the first symptom of pain of herpes zoster misdiagnosed 10 cases of senile.docVIP

 PAGE \* MERGEFORMAT 6 As the first symptom of pain of herpes zoster misdiagnosed 10 cases of senile Keywords: Pain; herpes zoster; misdiagnosed; elderly Shingles is caused by the varicella zoster virus involving the nerves and skin of a viral skin disease, characterized by sensory nerve along the corresponding segments of herpes occur with severe pain. Shingles easily violated the elderly and infirm, especially prevalent in the elderly and immunocompromised patients. The elderly often suffer from symptoms of postherpetic neuralgia before the rash appears, easily misdiagnosed, treatment is not timely or properly can cause a variety of hazards, so the elderly population to enhance the early diagnosis of herpes zoster were positive for the effective prevention and treatment is of great significance. In this paper, our hospital from June 2006 to February 2008 and admitted to hospital out-patient treatment of the pain after the first symptom of 10 cases of elderly patients with herpes zoster misdiagnosed clinical data were retrospectively analyzed. 1 Clinical data 1.1 General information 10 cases of elderly patients, 5 patients admitted to hospital, 5 patients after out-patient treatment; of which 7 were male, 3 female; aged 60 to 83 years, mean age 65.7 years; are in pain as the first symptom, 3 misdiagnosed as migraine, 1 was misdiagnosed as trigeminal neuralgia, 1 was misdiagnosed as angina pectoris, 1 was misdiagnosed as sciatica, 1 was misdiagnosed as muscle strain, 1 was misdiagnosed as cholecystitis, 1 was misdiagnosed as intercostal neuralgia, and 1 case of herpes zoster with angina as the first symptom; onset to diagnosis time 3 ~ 7 d, an average of 4.5 d; 3 patients had diabetes mellitus, hypertension in 3 patients, 2 patients had coronary heart disease, 1 patients with a history of chronic asthmatic bronchitis, 1 case had a history of cervical disease and sciatica, 1 case of chronic cholecystitis and a history of chronic superficial gastri