背景:面部疱疹是单纯疱疹病毒-1感染的常见形式,通常在口腔附近表现为囊泡,鼻子,和眼周部位。相比之下,我们观察到一个新的面部症状疱疹在整个脸上没有囊泡。
方法:一名33岁女性,从小就有水痘感染和带状疱疹病史,表现为整个面部结节病和神经痛,没有口腔病变。患者使用伐昔洛韦和阿昔洛韦乳膏进行抗病毒治疗。给药一天后,面部皮肤损伤和神经疼痛改善。没有口腔水疱的单纯疱疹在门诊进行目视检查时很容易误诊为丘疹。
结论:急性单纯疱疹伴有神经痛,及时的诊断和处方是必要的,考虑到病理史和健康状况。
BACKGROUND: Facial herpes is a common form of the herpes simplex virus-1 infection and usually presents as vesicles near the mouth, nose, and periocular sites. In contrast, we observed a new facial symptom of herpes on the entire face without vesicles.
METHODS: A 33-year-old woman with a history of varicella infection and shingles since an early age presented with sarcoidosis of the entire face and neuralgia without oral lesions. The patient was prescribed antiviral treatment with valacyclovir and acyclovir cream. One day after drug administration, facial skin lesions and neurological pain improved. Herpes simplex without oral blisters can easily be misdiagnosed as pimples upon visual examination in an outpatient clinic.
CONCLUSIONS: As acute herpes simplex is accompanied by neuralgia, prompt diagnosis and prescription are necessary, considering the pathological history and health conditions.