PDF(Pubmed)
Abstract：
BACKGROUND: Herpes zoster is an infectious skin disease caused by the reactivation of the varicella zoster virus (VZV), which has been latent in the posterior root ganglia of the spinal cord or cranial ganglia for an extended period. Neurological complications caused by herpes zoster include aseptic meningitis, white matter disease, peripheral motor neuropathy, and Guillain-Barré syndrome. However, reduced unilateral sweating caused by the VZV is very rare.
METHODS: This article reports the case of a 34-year-old woman who was admitted to our hospital with sore throat, dizziness, and reduced sweating on the left side of her body. Physical examination found herpes lesions on the left upper lip and left external ear canal (scabbed) and reduced sweating on the left side of the body. Head magnetic resonance imaging (MRI) with contrast showed no abnormalities. After a lumbar puncture, the patient was diagnosed with viral meningitis by VZV infection. The electromyographic skin sympathetic reflex indicated damage to the left sympathetic nerve.
CONCLUSIONS: Secondary unilateral sweating reduction is a rare neurological complication of herpes zoster, caused by damage to the autonomic nervous system. Literature review and comprehensive examination indicated that the reduced unilateral sweating was due to the activation of latent herpes zoster virus in the autonomic ganglia which has damaged the autonomic nervous system. For patients who exhibit acute hemibody sweat reduction, doctors should consider the possibility of secondary autonomic nervous system damage caused by herpes zoster.
METHODS: This article reports the case of a 34-year-old woman who was admitted to our hospital with sore throat, dizziness, and reduced sweating on the left side of her body. Physical examination found herpes lesions on the left upper lip and left external ear canal (scabbed) and reduced sweating on the left side of the body. Head magnetic resonance imaging (MRI) with contrast showed no abnormalities. After a lumbar puncture, the patient was diagnosed with viral meningitis by VZV infection. The electromyographic skin sympathetic reflex indicated damage to the left sympathetic nerve.
CONCLUSIONS: Secondary unilateral sweating reduction is a rare neurological complication of herpes zoster, caused by damage to the autonomic nervous system. Literature review and comprehensive examination indicated that the reduced unilateral sweating was due to the activation of latent herpes zoster virus in the autonomic ganglia which has damaged the autonomic nervous system. For patients who exhibit acute hemibody sweat reduction, doctors should consider the possibility of secondary autonomic nervous system damage caused by herpes zoster.
摘要：
背景：带状疱疹是一种由水痘带状疱疹病毒（VZV）重新激活引起的感染性皮肤病，在脊髓后根神经节或颅神经节中潜伏了很长时间。带状疱疹引起的神经系统并发症包括无菌性脑膜炎，白质疾病,外周运动神经病,和格林-巴利综合征.然而,由VZV引起的单侧出汗减少是非常罕见的。
方法：本文报道一例34岁女性因咽喉痛入院，头晕,减少了左侧身体的出汗.体格检查发现左侧上唇和左侧外耳道有疱疹病变（结痂），身体左侧出汗减少。增强的头部磁共振成像（MRI）未见异常。腰椎穿刺后,患者被VZV感染诊断为病毒性脑膜炎.肌电图皮肤交感神经反射提示左侧交感神经损伤。
结论：继发性单侧出汗减少是带状疱疹的一种罕见神经系统并发症，对自主神经系统造成的损害.文献回顾和综合检查表明，单侧出汗减少是由于自主神经节内潜伏性带状疱疹病毒的激活，损害了自主神经系统。对于出现急性半身汗液减少的患者，医生应考虑带状疱疹引起的继发性自主神经系统损害的可能性。
方法：本文报道一例34岁女性因咽喉痛入院，头晕,减少了左侧身体的出汗.体格检查发现左侧上唇和左侧外耳道有疱疹病变（结痂），身体左侧出汗减少。增强的头部磁共振成像（MRI）未见异常。腰椎穿刺后,患者被VZV感染诊断为病毒性脑膜炎.肌电图皮肤交感神经反射提示左侧交感神经损伤。
结论：继发性单侧出汗减少是带状疱疹的一种罕见神经系统并发症，对自主神经系统造成的损害.文献回顾和综合检查表明，单侧出汗减少是由于自主神经节内潜伏性带状疱疹病毒的激活，损害了自主神经系统。对于出现急性半身汗液减少的患者，医生应考虑带状疱疹引起的继发性自主神经系统损害的可能性。
