Zoster of the 2nd and 3rd trigeminal branch
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: -
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: -
Zoster, shingles, chickepox, varicella
Herpes zoster occurs when the dormant varicella virus (after a primary chickenpox infection) is reactivated. The virus then travels from the ganglia to the area that is innervated by the 2nd and 3rd trigeminal branches.
Image of herpes zoster in the cheeks, oral mucosa and tongue. Enorally, the efflorescences may also appear aphthoid or erosive.
Most often the diagnosis can be made clinically. In doubt, a viral swab and PCR can confirm the initial clinical suspicion.
Gingivitis, involvement of the ears which may cause vertigo and alteration of auditory function.
Pain therapy
Therapy of post-zoster neuralgia (stepwise regimen)
Systemic therapy
Aciclovir
Valaciclovir
Brivudine (tbl.)
Famciclovir
Foscarnet
Topical therapy
Werner RN, Nikkels AF, Marinovic B, Schafer M, Czarnecka-Operacz M, Agius AM, Bata-Csorgo Z, Breuer J, Girolomoni G, Gross GE, Langan S, Lapid-Gortzak R, Lesser TH, Pleyer U, Sellner J, Verjans GM, Wutzler P, Dressler C, Erdmann R, Rosumeck S, Nast A: European consensus-based (s2k) guideline on the management of herpes zoster - guided by the european dermatology forum (edf) in cooperation with the european academy of dermatology and venereology (eadv), part 1: Diagnosis. J Eur Acad Dermatol Venereol 2017;31:9-19.
Werner RN, Nikkels AF, Marinovic B, Schafer M, Czarnecka-Operacz M, Agius AM, Bata-Csorgo Z, Breuer J, Girolomoni G, Gross GE, Langan S, Lapid-Gortzak R, Lesser TH, Pleyer U, Sellner J, Verjans GM, Wutzler P, Dressler C, Erdmann R, Rosumeck S, Nast A: European consensus-based (s2k) guideline on the management of herpes zoster - guided by the european dermatology forum (edf) in cooperation with the european academy of dermatology and venereology (eadv), part 2: Treatment. J Eur Acad Dermatol Venereol 2017;31:20-29.
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