Post-herpetic neuralgia
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Dor |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500052 |
Resumo: | ABSTRACT BACKGROUND AND OBJECTIVES: Post-herpetic neuralgia is defined as pain persisting for more than three months after the resolution of skin eruptions observed in herpes-zoster. Post-herpetic neuralgia incidence is quite variable, increases with age, being more frequent among patients aged over 60, and is associated to reduced quality of life of affected individuals. The objective of this review is to discuss key aspects of post-herpetic neuralgia, particularly its pathophysiology, clinical signs, diagnosis, prevention and treatment. CONTENTS: Post-herpetic neuralgia pathophysiology is poorly understood and involves peripheral and central nervous system mechanisms. Associated clinical signs are variable and represented mainly by pain with neuropathic features and skin changes in dermatomes previously affected by herpes-zoster. Post-herpetic neuralgia prophylactic vaccination seems to be the best preventive option. Diagnosis of post-herpetic neuralgia is largely clinical and treatment involves an early-stage, multimodal approach. Among techniques described in the literature, there is pharmacological treatment which, when not effective, requires the implementation of interventional techniques. CONCLUSION: Post-herpetic neuralgia is a complex entity and should be treated in a multidisciplinary way aiming at improving patients' quality of life. |
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Post-herpetic neuralgiaChronic painClinical featuresDiagnosisPathophysiologyPostherpetic neuralgiaPreventionTreatment approachesABSTRACT BACKGROUND AND OBJECTIVES: Post-herpetic neuralgia is defined as pain persisting for more than three months after the resolution of skin eruptions observed in herpes-zoster. Post-herpetic neuralgia incidence is quite variable, increases with age, being more frequent among patients aged over 60, and is associated to reduced quality of life of affected individuals. The objective of this review is to discuss key aspects of post-herpetic neuralgia, particularly its pathophysiology, clinical signs, diagnosis, prevention and treatment. CONTENTS: Post-herpetic neuralgia pathophysiology is poorly understood and involves peripheral and central nervous system mechanisms. Associated clinical signs are variable and represented mainly by pain with neuropathic features and skin changes in dermatomes previously affected by herpes-zoster. Post-herpetic neuralgia prophylactic vaccination seems to be the best preventive option. Diagnosis of post-herpetic neuralgia is largely clinical and treatment involves an early-stage, multimodal approach. Among techniques described in the literature, there is pharmacological treatment which, when not effective, requires the implementation of interventional techniques. CONCLUSION: Post-herpetic neuralgia is a complex entity and should be treated in a multidisciplinary way aiming at improving patients' quality of life.Sociedade Brasileira para o Estudo da Dor2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500052Revista Dor v.17 suppl.1 2016reponame:Revista Dorinstname:Sociedade Brasileira para o Estudo da Dor (SBED)instacron:SBED10.5935/1806-0013.20160048info:eu-repo/semantics/openAccessOliveira,Charles Amaral deCastro,Anita Perpétua Carvalho Rocha deMiyahira,Susana Abeeng2016-09-22T00:00:00Zoai:scielo:S1806-00132016000500052Revistahttps://www.scielo.br/j/rdor/ONGhttps://old.scielo.br/oai/scielo-oai.phpdor@dor.org.br||dor@dor.org.br2317-63931806-0013opendoar:2016-09-22T00:00Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED)false |
dc.title.none.fl_str_mv |
Post-herpetic neuralgia |
title |
Post-herpetic neuralgia |
spellingShingle |
Post-herpetic neuralgia Oliveira,Charles Amaral de Chronic pain Clinical features Diagnosis Pathophysiology Postherpetic neuralgia Prevention Treatment approaches |
title_short |
Post-herpetic neuralgia |
title_full |
Post-herpetic neuralgia |
title_fullStr |
Post-herpetic neuralgia |
title_full_unstemmed |
Post-herpetic neuralgia |
title_sort |
Post-herpetic neuralgia |
author |
Oliveira,Charles Amaral de |
author_facet |
Oliveira,Charles Amaral de Castro,Anita Perpétua Carvalho Rocha de Miyahira,Susana Abe |
author_role |
author |
author2 |
Castro,Anita Perpétua Carvalho Rocha de Miyahira,Susana Abe |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Oliveira,Charles Amaral de Castro,Anita Perpétua Carvalho Rocha de Miyahira,Susana Abe |
dc.subject.por.fl_str_mv |
Chronic pain Clinical features Diagnosis Pathophysiology Postherpetic neuralgia Prevention Treatment approaches |
topic |
Chronic pain Clinical features Diagnosis Pathophysiology Postherpetic neuralgia Prevention Treatment approaches |
description |
ABSTRACT BACKGROUND AND OBJECTIVES: Post-herpetic neuralgia is defined as pain persisting for more than three months after the resolution of skin eruptions observed in herpes-zoster. Post-herpetic neuralgia incidence is quite variable, increases with age, being more frequent among patients aged over 60, and is associated to reduced quality of life of affected individuals. The objective of this review is to discuss key aspects of post-herpetic neuralgia, particularly its pathophysiology, clinical signs, diagnosis, prevention and treatment. CONTENTS: Post-herpetic neuralgia pathophysiology is poorly understood and involves peripheral and central nervous system mechanisms. Associated clinical signs are variable and represented mainly by pain with neuropathic features and skin changes in dermatomes previously affected by herpes-zoster. Post-herpetic neuralgia prophylactic vaccination seems to be the best preventive option. Diagnosis of post-herpetic neuralgia is largely clinical and treatment involves an early-stage, multimodal approach. Among techniques described in the literature, there is pharmacological treatment which, when not effective, requires the implementation of interventional techniques. CONCLUSION: Post-herpetic neuralgia is a complex entity and should be treated in a multidisciplinary way aiming at improving patients' quality of life. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500052 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500052 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1806-0013.20160048 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
dc.source.none.fl_str_mv |
Revista Dor v.17 suppl.1 2016 reponame:Revista Dor instname:Sociedade Brasileira para o Estudo da Dor (SBED) instacron:SBED |
instname_str |
Sociedade Brasileira para o Estudo da Dor (SBED) |
instacron_str |
SBED |
institution |
SBED |
reponame_str |
Revista Dor |
collection |
Revista Dor |
repository.name.fl_str_mv |
Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED) |
repository.mail.fl_str_mv |
dor@dor.org.br||dor@dor.org.br |
_version_ |
1752126255475458048 |