A month back one young male patient aged about 26 years walked into my clinic with complaints of rashes on his left side of his back and burning sensation since 4 days. He thought it might be due to some insect bite or allergy reaction for a day. Second day he has applied some ointment to the rashes and there was no improvement and it started more in size of the rashes. Patient did not had any other significant associate history of other diseases .
On examination I found it was a clear cut case of Herpes Zoster lesion and he has ignored it for the past four days. Fortunately it was no very severe. in case if he has applied steroid ointment locally for the lesion it wold have led to problems. Usually it will associated with nerve involvement of one segment of the sensory nerve and very rarely it involves more than two nerve segments involvement ( segment means sensory area supply by each sensory nerve ) . sometime it leads to long term complication of neuritic pain that segment intermittently for life long.
Ignoring local rashes on the surface of the body is quite common. But it is not always safe . There are many reasons for the occurrence of rashes especially of acute onset . A rash in the invisible parts of the body should not be neglected or ignored . A disease like Herpes Zoster may be seen in any age and anywhere in the body and always associated with little burning sensation , itching etc. Rashes will increase in size in the first three days.
On examination I found it was a clear cut case of Herpes Zoster lesion and he has ignored it for the past four days. Fortunately it was no very severe. in case if he has applied steroid ointment locally for the lesion it wold have led to problems. Usually it will associated with nerve involvement of one segment of the sensory nerve and very rarely it involves more than two nerve segments involvement ( segment means sensory area supply by each sensory nerve ) . sometime it leads to long term complication of neuritic pain that segment intermittently for life long.
Ignoring local rashes on the surface of the body is quite common. But it is not always safe . There are many reasons for the occurrence of rashes especially of acute onset . A rash in the invisible parts of the body should not be neglected or ignored . A disease like Herpes Zoster may be seen in any age and anywhere in the body and always associated with little burning sensation , itching etc. Rashes will increase in size in the first three days.
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