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Spontaneous Resolution of Abdominal Pseudohernia After Herpes Zoster

Published:September 11, 2019DOI:https://doi.org/10.1016/j.amjmed.2019.08.026
      Herpes zoster, also known as shingles, develops from reactivation of the varicella zoster virus.
      • Bolognia J
      • Jorizzo JL
      • Schaffer J, eds.
      Dermatology.
      In immunocompetent individuals, shingles classically presents as pruritic vesicles in a dermatomal distribution with associated constitutional symptoms. The rash typically resolves in 7-10 days.
      • Bolognia J
      • Jorizzo JL
      • Schaffer J, eds.
      Dermatology.
      The most common complication of herpes zoster is herpetic neuralgia. Motor deficits occur in 1%-5% of patients, with the most common manifestation being Ramsay Hunt Syndrome.
      • Greenberg J.
      Herpes zoster with motor involvement.
      Other complications include abdominal pseudohernia, localized paresis, constipation, visceral neuropathy, paralytic ileus/colonic pseudo-obstruction, hemidiaphragm paralysis, and bladder dysfunction.
      • Bolognia J
      • Jorizzo JL
      • Schaffer J, eds.
      Dermatology.
      • Greenberg J.
      Herpes zoster with motor involvement.
      • Chernev I
      • Dado D.
      Segmental zoster abdominal paresis (zoster pseudohernia): a review of the literature.
      • Hotta T
      • Kano Y
      • Shiohara T
      A case of herpes zoster with paralytic ileus and paralysis of abdominal muscles.
      We report a case of a patient who developed an abdominal bulge 3 weeks after experiencing a rash from herpes zoster.
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      References

        • Bolognia J
        • Jorizzo JL
        • Schaffer J, eds.
        Dermatology.
        Elsevier Saunders, Philadelphia2012
        • Greenberg J.
        Herpes zoster with motor involvement.
        JAMA. 1970; 212: 322
        • Chernev I
        • Dado D.
        Segmental zoster abdominal paresis (zoster pseudohernia): a review of the literature.
        PM R. 2013; 5: 786-790
        • Hotta T
        • Kano Y
        • Shiohara T
        A case of herpes zoster with paralytic ileus and paralysis of abdominal muscles.
        Clin Dermatol. 2003; 57: 1191-1194
        • Chiu HY
        • Lin SJ.
        A painful bulge in the left flank.
        JAMA. 2013; 310: 639-640
        • Ohno S
        • Togawa Y
        • Chiku T
        • Sano W
        Postherpetic pseudohernia: delayed onset of paresis of abdominal muscles due to herpes zoster causing an ipsilateral abdominal bulge.
        BMJ Case Rep. 2016 May 26; 2016https://doi.org/10.1136/bcr-2016-215377
        • Barroso FA
        Abdominal distension due to herpes zoster.
        Medicina (B Aires). 2002; 62: 53-54
        • Giuliani A
        • Galati G
        • Parisi L
        • et al.
        Postherpetic paresis mimicking an abdominal herniation.
        Acta Derm Venereol. 2006; 86: 73-74