UNASSIGNED:带状疱疹感染继发的腹部假疝很少见,临床特征和影响恢复的因素仍然知之甚少。
UNASSIGNED:我们旨在描述带状疱疹感染继发腹部假性疝患者的临床特征,并试图找出与康复不良相关的因素。
UNASSIGNED:文献综述和回顾性分析。
未经评估:我们报告了一个病例并进行了回顾性研究,对人口背景进行系统回顾,20年(2001-2021年)文献中带状疱疹感染继发腹部假疝患者的临床特征和结局.
UNASSIGNED:我们共分析了34例病例。患者的中位年龄为71.5岁。大多数患者为男性(n=27,79.4%)。最常见的皮刀是T-11(n=20,66.7%)。在四名(12.5%)患者中,腹部假疝在皮疹发作前开始。在所有接受神经传导研究和肌电图检查的患者(n=12,100%)中,有急性神经支配的电生理学证据。7例患者(20.6%)的影像学特征提示腹壁萎缩和神经支配。大多数患者恢复良好。中位随访时间为3个月(15天-12个月)。具有预先存在的医疗条件(p=0.03)的患者更有可能具有较差的恢复。
UNASSIGNED:腹部假性疝是带状疱疹感染的一种罕见并发症,恢复预后良好,尽管先前存在疾病的患者似乎恢复得更糟。在极少数情况下,它可能发生在典型的带状疱疹发作之前,应该怀疑,尤其是在老年人中,男性患者受累于下胸膜。
UNASSIGNED: Abdominal pseudo-hernia secondary to herpes zoster infection is rare and the clinical features and factors affecting recovery remain poorly understood.
UNASSIGNED: We aimed to describe the clinical features of patients with abdominal pseudo-hernia secondary to herpes zoster infection and attempt to identify factors associated with poor recovery.
UNASSIGNED: Literature review and retrospective Analysis.
UNASSIGNED: We report a case and performed a retrospective, systematic review of the demographic background, clinical characteristics and outcomes of patients with abdominal pseudo-hernia secondary to herpes zoster infection in the literature over 20 years (2001-2021).
UNASSIGNED: We analyzed a total of 34 cases. The median age of the patients was 71.5 years. Most of the patients were male (n = 27, 79.4%). The most frequently affected dermatome was T-11 (n = 20, 66.7%). In four (12.5%) patients, abdominal pseudo-hernia started before the onset of rash. In all patients (n = 12, 100%) who underwent nerve conduction study and electromyography, there was electrophysiological evidence of acute denervation. Seven patients (20.6%) had imaging features suggestive of abdominal wall atrophy and denervation. The majority of patients had good recovery. The median follow-up time was 3 (15 days-12 months) months. Patients with pre-existing medical conditions (p = 0.03) were more likely to have a worse recovery.
UNASSIGNED: Abdominal pseudo-hernia is a rare complication of herpes zoster infection with a good prognosis for recovery, although patients with pre-existing disease appear to recover worse. In rare cases, it may occur before the onset of typical zoster rashes and should be suspected, especially in older, male patients with involvement of the lower thoracic dermatomes.