Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
Case Report
2002:68:5;295-295
PMID: 17656976

Rare sequelae of herpes zoster in HIV positive patient

Sandeep K Goel, Maria Kuruvila
 Department of Skin and VD KMC, Mangalore - 575 001, India

Correspondence Address:
Maria Kuruvila
Department of Skin and VD KMC, Mangalore - 575 001
India
How to cite this article:
Goel SK, Kuruvila M. Rare sequelae of herpes zoster in HIV positive patient. Indian J Dermatol Venereol Leprol 2002;68:295
Copyright: (C)2002 Indian Journal of Dermatology, Venereology, and Leprology

Abstract

A 34 year -old woman, who was diagnosed to be HIV positive 4 years back, presented with zoster along T-6 dermatome followed by development of keloid.
Keywords: HIV, Post zoster keloid

Introduction

Herpes zoster commonly occurs early in the course of HIV infection. Post herpetic neuralgia, recurrences,[1],[4] disseminated zoster,[2] ulcerated lesions[3] and chronic verrucous lesions[1],[4] have been described in HIV infected patients with herpes zoster. To the best of our knowledge keloid following herpes zoster in HIV positive patient has not been reported.

Case Report

A 34 - year -old woman, who was diagnosed to be HIV - positive in 1996, presented with herpes zoster along the T-6 dermatome on right side in June 1999. She was treated with acyclovir 800 mg five times a day for seven days. Lesions healed completely within a month. Patient observed itchy raised lesions along the post herpetic scar after two months. There was no history suggestive of post herpetic neuralgia or other features of opportunistic infections. On examination, keloid with linear distribution along the affected dermatome was seen. There was no evidence of keloid any where else on the body.

Discussion

Herpes zoster appears between two and seven years after seroconversion, usually while the patient is asymptomatic. It follows a course similar to that seen in healthy people and lesions often resolve without specific therapy. The capacity of immune system to react and the rapidity of such reactions determine the severity of infection beyond the initial ganglion - nerve - dermatome unit. The immune response may, in the process of eliminating virus, also contribute to tissue damage, augmenting cell lysis acutely and enhancing subsequent fibrosis and scarring.[5] The development of keloid in lesions of herpes zoster suggests that the related immunological process is still functioning in HIV positive patient.

References
1.
Jacobson MA, Berger TG, Fikrig S, et al. Acyclovir resistant varicella zostervirus infection after chronic oral acyclovir therapy in patients with the acquired immuno deficiency syndrome (AIDS). Ann Intern Med 1990;112:187-191.
[Google Scholar]
2.
Cohen PR, Beltrani VP, Grossman ME. Disseminated herpes zoster in patients with human immunodeficiency virus infection. Am J Med 1988; 84: 1076 - 1080.
[Google Scholar]
3.
Gilson IH, Barnett JH, Conant MA, et al. Disseminated ecthymotous herpes varicella - zoster virus infection in patients with acquired immunodeficiency syndrome. J Am Acad Dermatol 1989; 20: 637 -642.
[Google Scholar]
4.
Pahwa S, Biron K, Lim W, et al. Continuous varicella zoster infection associated with acyclovir resistance in a child with AIDS. JAMA 1988; 260: 2879 - 2882.
[Google Scholar]
5.
Price RW. Herpes zoster. Med Clin North America 1982;66: 1105 - 1118.
[Google Scholar]
Show Sections