172. Painful Facial Rash

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch172

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) Painful Facial Rash, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch172

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 62, painful facial rash;
  • diagnosis - herpes zoster ophthalmicus;
  • herpes zoster ophthalmicus, reactivation of varicella virus - affecting ophthalmic division of trigeminal nerve;
  • ocular manifestations of herpes zoster ophthalmicus - immense, long-term follow-up;
  • herpes zoster ophthalmicus, affecting tip of nose - known as Hutchinson's sign;
  • higher risk, of ocular involvement - in patients, with a positive Hutchinson's sign;
  • ocular evaluation, patients with herpes zoster ophthalmicus - visual acuity, intraocular pressures;
  • patients, systemically ill or immunocompromised - given intravenous acyclovir;
  • patients, with ocular involvement - needing ophthalmologic consultation, corticosteroid therapy;
  • pain, from herpes zoster ophthalmicus - and postherpetic neuralgia, lingering for months

Summary

This chapter contains sections titled:

  • Further reading