DOI: 10.36347/sjams.2018.v06i11.063

Pages: 4510-4513

Herpes zoster is a major health burden that can affect individuals of any age. Herpes zoster is caused by reactivation of varicella zoster virus (VZV) laid dormant in sensory dorsal root ganglion. It is seen more commonly among individuals aged >50 years, those with immunocompromised status, those on immunosuppressant drugs. In this era of HIV infection, HIV seropositive patients are at increased risk of severe or disseminated cutaneous or visceral involvement. This study analyse the clinical pattern and epidemiological factors of Herpes Zoster and the HIV prevalence among patients with Herpes Zoster. Current study is prospective study in which 65 consecutive patients of herpes zoster attending dermatology opd of CUSMC, Surendranagar were included. The study was conducted over a period of 6 months from April 2018 to September 2018. Patients were well enrolled after consent. Complete history and cutaneous examination were noted according to preformed proforma. Photographic evaluation and data analysis was done at the end. This study group includes 65 patients having HZ attending skin OPD. Out of this 38 were males 27 were females. Age groups varied from 8 to 80 years. Most common dermatomes involved were thorasic f/b lumbosacral f/b cervical. 13% patient shows HIV seropositivity. Most commonly observed complication was PHN which was encountered in 23% of patients. And most of these patients were above the age of 60 years. HZ can affect any age group with a higher incidence in elderly patients and in those with immunocompromised status. The result of incidence and clinical pattern of HZ is almost parellel to previous study. Any factor of immunosuppression should be checked, especially HIV, particularly in disseminated and long lasting cases. Despite several therapeutic modalities for HZ and its complication, treatment remains challenge.