Can the Foot Pain Be the Varicella Zoster (Shingles)?

Year 2019, Volume: 1 Issue: 2, 81 - 84, 03.09.2019

Dilek Atik , Bahadır Taşlıdere , Ramiz Yazıcı , Bensu Bulut , Serkan Doğan , Ramazan Güven , Başar Cander

Abstract

Shingles is one of the two different clinical presentations of infection of
VZV which is a DNA virus. Humans are a known reservoir for the Varicella zoster
virus (VZV). It is very contagious. The virus that remains latent after
infection in childhood and can be reactive due to various reasons (immune
system suppression, old age, stress factors, etc.). It involves various dermatomes after reactivation. Varicella-zoster appears mostly on thoracic,
cervical, and ophthalmic dermatomes. Rarely, it is located in the upper and
lower extremity dermatomes. In this
study; 7 patients with shingles on the foot and sole were examined. It was
aimed to emphasize that varicella zoster (zona) may be the cause of foot pain
in patients presenting to the emergency department with complaints such as
pain, burning and inability to step on standing, and to review the age, gender,
underlying factors of the zona cases which are not previously mentioned in the
literature.

Keywords

SHINGLES, VZV

References

• 1. Sauve RS, Leung AK. Congenital varicella syndro-me with colonie atresias. Clin Pediatr (Phila) 2003; 42(5): 451-3.(12)
• 2 .Kost RG, Straus SE. Postherpetic neuralgia—pathogenesis, treatment, and prevention. N Engl J Med 1996; 335:32-42. (PMID: 8637540)
• 3 .Gnann JW Jr, Whitley RJ. Clinical practice: herpes zoster. N Engl J Med 2002; 347:340-6.
• 4. Schmader K. Herpes zoster in older adults. Clin Infect Dis 2001; 32:1481-6.
• 5 .Whitley RJ. Varicella-zoster virus infections. In: Kasper LD, Braunwald E, Fauci SA, Hauser LS, Longo LD, Jameson LJ (eds). Harrison’s Principles Internal Medicine.16th ed. United States of America, McGraw-Hill, 2005; pp. 1042-45.
• 6 .Donahue JG, Choo PW, Manson JE, Platt R. The incidence of herpes zoster. Arch Intern Med 1995; 155:1605-9.
• 7. Weinberg JM. Herpes zoster: epidemiology, natural history, and common complications. J Am Acad Dermatol 2007;57:S130-5.
• 8. SK. Management of herpes zoster and postherpetic neuralgia. J Am Acad Dermatol 2007; 57:S136-42.
• 9. Huff JC, Bean B, Balfour HH, Laskin OL, Connor JD, Corey L, Bryson YJ, McGuirt P. Therapy of herpes zoster with oral acyclovir. Am J Med 1988; 85:84-89. (PMID: 3044099)
• 10. Gilden DH, Dueland AN, Cohrs R, Martin JR, Kleinschmidt-DeMasters BK, Mahalingam R. Preherpetic neuralgia. Neurology 1991; 41:1215-1218. (PMID: 1866008)
• 11. Bennett GJ. Hypotheses on the pathogenesis of herpes zoster associated pain. Ann Neurol 1994; 35(Suppl):S38-41.
• 12. Yavaşoğlu İ, Arslan E, Gök M, Kurna M. Erişkin Zona: Olgu Serisi ve Derleme. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2008; 34:123-125.
• 13. Roxas M. Herpes zoster and postherpetic neuralgia: diagnosis and therapeutic considerations. Altern Med Rev 2006;11:102-13.
• 14. Sawant SP, Amin AS, Kumar S. Herpes zoster in a healthy immunocompetent two-year-old child. Pediatr Infect Dis J 2012;4:13-4.