Zoster - Shingles&theeye:3cases ,HZO DavidKinshuck Case1 Age70y,female ,morepainful ( Checkedin

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herpes zoster ophthalmicus, HZO David Kinshuck
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Case 1 Age 70y, female Burning around left forehead 2 days later vesicles left forehead, more painful Eye dept contacted for advice Systemic famvir 7days 500mg tid (could have used high dose oral acyclovir) Checked in eye dept 3 weeks later, vesicles going, pain  going, eye quiet
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Case 1 cont.
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Case 2 Age 65y, male On systemic steroids for asthma Burning around left forehead 2 days later vesicles left forehead, more painful Eye dept contacted for advice Systemic famvir 7days 500mg tid Start immediately…the earlier the better Checked in eye dept 3 weeks later, vesicles still present,  painful, eye quiet 3 months later, uveitis, neuralgia++
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Case 2 cont (a different patient)
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Anyone immuno-suppressed, intravenous acyclovir  (check renal function) for first week, oral  maximum dose 1 week. .give immediately 
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This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Zoster - Shingles&theeye:3cases ,HZO DavidKinshuck Case1 Age70y,female ,morepainful ( Checkedin

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