Atypical Presentation of Disseminated Zoster in a Patient with Rheumatoid Arthritis
المؤلفون المشاركون
Ahmed, Shadab
Patel, Nirav
Singh, Davinder
Patel, Krunal
Anand, Prachi
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-2، 2ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-10-05
دولة النشر
مصر
عدد الصفحات
2
التخصصات الرئيسية
الملخص EN
Patients with rheumatoid arthritis (RA) have 2-fold increased risk of herpes zoster.
In literature, limited information exists about disseminated cutaneous zoster in RA patients.
An 83-year-old African-American female with RA presented with generalized and widespread vesicular rash covering her entire body.
Comorbidities include hypertension, type II diabetes, and dyslipidemia.
Patient was on methotrexate 12.5 mg and was not receiving any corticosteroids, anti-TNF therapy, or other biological agents.
The patient was afebrile (98 F) with no SIRS criteria.
Multiple vesicular lesions were present covering patient’s entire body including face.
Lesions were in different stages, some umbilicated with diameter of 2–7 cm.
Many lesions have a rim of erythema with no discharge.
On admission, patient was also pancytopenic with leukocyte count of 1.70 k/mm3.
Biopsies of lesions were performed, which were positive for Varicella antigen.
Subsequently, patient was started on Acyclovir.
The patient’s clinical status improved and rash resolved.
Our patient presented with “atypical” clinical picture of disseminated cutaneous zoster with no obvious dermatome involvement.
Disseminated zoster is a potentially serious infection that can have an atypical presentation in patients with immunocompromised status.
High index of suspicion is needed to make the diagnosis promptly and to initiate therapy to decrease mortality and morbidity.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Patel, Nirav& Singh, Davinder& Patel, Krunal& Ahmed, Shadab& Anand, Prachi. 2015. Atypical Presentation of Disseminated Zoster in a Patient with Rheumatoid Arthritis. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058776
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Patel, Nirav…[et al.]. Atypical Presentation of Disseminated Zoster in a Patient with Rheumatoid Arthritis. Case Reports in Medicine No. 2015 (2015), pp.1-2.
https://search.emarefa.net/detail/BIM-1058776
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Patel, Nirav& Singh, Davinder& Patel, Krunal& Ahmed, Shadab& Anand, Prachi. Atypical Presentation of Disseminated Zoster in a Patient with Rheumatoid Arthritis. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058776
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1058776
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر