Varicella-zoster virus(VZV)is a type of herpes virus known to cause varicella,mainly in young children,and herpes zoster in adults.Although generally non-lethal,VZV infection can be associated with serious complicatio...Varicella-zoster virus(VZV)is a type of herpes virus known to cause varicella,mainly in young children,and herpes zoster in adults.Although generally non-lethal,VZV infection can be associated with serious complications,particularly in adults.Acute pancreatitis caused by VZV infection is a rare event,with reports primarily concerning immunocompromised individuals.Here we report a 44-year-old immunocompetent female who developed acute pancreatitis associated with VZV infection.The patient presented with vomiting and persistent pain in the upper quadrant less than one week after diagnosis and treatment for a herpes zoster-related rash with stabbing pain on the abdomen and dorsal right trunk side.A diagnosis of acute pancreatitis was confirmed based on abdominal pain,elevated levels of urine and serum amylase,and findings of peri-pancreatic exudation and effusions by computed tomography and magnetic resonance cholangiopancreatography.This case highlights that,though rare,acute pancreatitis should be considered in VZV patients who complain of abdominal pain,especially in the epigastric area.Early detection and proper treatment are needed to prevent the condition from deteriorating further and to minimize mortality.展开更多
Objective: To analyze the effectiveness of different acupuncture-moxibustion therapies for neurodynia and skin lesions of acute herpes zoster. Patients and Methods: From April 2007 to October 2009, 500 patients with c...Objective: To analyze the effectiveness of different acupuncture-moxibustion therapies for neurodynia and skin lesions of acute herpes zoster. Patients and Methods: From April 2007 to October 2009, 500 patients with clinical acute herpes zoster were included in the study. They were randomly divided into five groups as follow: electroacupuncture (E);electroacupuncture + cottonpave moxibustion (EC);electroacupuncture + fire acupuncture (EF);electroacupuncture + tapping combined with cupping (ET);control group of western medicine (WM). Results: The time of staunch bleb, scab and scab-off had no obvious statistical difference in the five groups;however, five methods could obviously reduce symptoms of herpes zoster and improved general symptoms. Within five days of treatment, compared to control group, the other four methods could more quickly ameliorate the general symptom of herpes zoster, and EF was superior to EC. In addition to electroacupuncture group, the treatment groups could relieve neuralgia and shortened duration of pain, which was superior to control group treatment. In addition, within first 3 days of treatment, the efficacy of treatment with E, EF or ET was superior to that of EC, and EF was better to E. After five days or end-of-treatment, the efficiency of odynolysis by treatment with EF, ETor EC was no more than E. The incidence of neurodynia was reduced after treatment with EC, EF or ET at 30th, 60th and 90th day, and pain of postherpetic neuralgia was relived. Conclusion: It is a certain advantages for organism reparation, abatement of neurodynia, and reduction of postherpetic neuralgia by acupuncture treatment.展开更多
基金Supported by Zhejiang Provincial Natural Science Foundation of China No.LY14H160027,No.LQ12H16009the Science and Technology Bureau of Zhejiang Province,No.2013C33137,No.2013KKYA093
文摘Varicella-zoster virus(VZV)is a type of herpes virus known to cause varicella,mainly in young children,and herpes zoster in adults.Although generally non-lethal,VZV infection can be associated with serious complications,particularly in adults.Acute pancreatitis caused by VZV infection is a rare event,with reports primarily concerning immunocompromised individuals.Here we report a 44-year-old immunocompetent female who developed acute pancreatitis associated with VZV infection.The patient presented with vomiting and persistent pain in the upper quadrant less than one week after diagnosis and treatment for a herpes zoster-related rash with stabbing pain on the abdomen and dorsal right trunk side.A diagnosis of acute pancreatitis was confirmed based on abdominal pain,elevated levels of urine and serum amylase,and findings of peri-pancreatic exudation and effusions by computed tomography and magnetic resonance cholangiopancreatography.This case highlights that,though rare,acute pancreatitis should be considered in VZV patients who complain of abdominal pain,especially in the epigastric area.Early detection and proper treatment are needed to prevent the condition from deteriorating further and to minimize mortality.
文摘Objective: To analyze the effectiveness of different acupuncture-moxibustion therapies for neurodynia and skin lesions of acute herpes zoster. Patients and Methods: From April 2007 to October 2009, 500 patients with clinical acute herpes zoster were included in the study. They were randomly divided into five groups as follow: electroacupuncture (E);electroacupuncture + cottonpave moxibustion (EC);electroacupuncture + fire acupuncture (EF);electroacupuncture + tapping combined with cupping (ET);control group of western medicine (WM). Results: The time of staunch bleb, scab and scab-off had no obvious statistical difference in the five groups;however, five methods could obviously reduce symptoms of herpes zoster and improved general symptoms. Within five days of treatment, compared to control group, the other four methods could more quickly ameliorate the general symptom of herpes zoster, and EF was superior to EC. In addition to electroacupuncture group, the treatment groups could relieve neuralgia and shortened duration of pain, which was superior to control group treatment. In addition, within first 3 days of treatment, the efficacy of treatment with E, EF or ET was superior to that of EC, and EF was better to E. After five days or end-of-treatment, the efficiency of odynolysis by treatment with EF, ETor EC was no more than E. The incidence of neurodynia was reduced after treatment with EC, EF or ET at 30th, 60th and 90th day, and pain of postherpetic neuralgia was relived. Conclusion: It is a certain advantages for organism reparation, abatement of neurodynia, and reduction of postherpetic neuralgia by acupuncture treatment.
