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科内讲座疱疹后疼痛.pptx

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科内讲座疱疹后疼痛.pptx

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科内讲座疱疹后疼痛.pptx

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varicella zoster virus (VZV)
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Primary VZV infection, which usually occurs in children, results in chickenpox (varicella), after which the virus becomes latent in ganglionic neurons along the entire neuraxis. Years later, as cell-mediated immunity to VZV declines with age or from immunosuppression (such as in organ-transplant recipients or patients with cancer or AIDS), VZV can reactivate to cause zoster (shingles). Zoster is often followed by chronic pain
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带状疱疹后神经痛
临床表现:
沿神经走行的疼痛,在疱疹结痂或愈合后发生
占9%-14%(60岁中50%,70岁中75%)
女性多见
多见于三叉神经的眼支和胸部
持续烧灼痛或穿刺痛