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LETTER TO EDITOR
Year : 1995  |  Volume : 61  |  Issue : 2  |  Page : 126-127

Herpes zoster with ulnar nerve paresis




Correspondence Address:
Adarsh Chopra


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Source of Support: None, Conflict of Interest: None


PMID: 20952916

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How to cite this article:
Chopra A, Mamta, Dimple. Herpes zoster with ulnar nerve paresis. Indian J Dermatol Venereol Leprol 1995;61:126-7

How to cite this URL:
Chopra A, Mamta, Dimple. Herpes zoster with ulnar nerve paresis. Indian J Dermatol Venereol Leprol [serial online] 1995 [cited 2019 Oct 14];61:126-7. Available from: http://www.ijdvl.com/text.asp?1995/61/2/126/4170



  To the Editor, Top


Herpes zoster involves both motor as well as sensory nerves. The infection is usually limited to sensory ganglia and nerve root but may occasionally involve the motor fibres leading to paresis/ paralysis of the muscles.

A 30-year-old woman presented with pain on the inner side of right arm and slight wasting of right arm and right hand for the last 6 months. She gave history of painful grouped vesicular lesions on the inner side of right arm. After the resolution of lesions she developed shooting pain off and on on the inner side of the right arm that was followed by wasting of muscles of lateral and inner compartments of right arm alongwith slight clawing of medial 2 fingers. There was no history of fever, any drug intake or any injection in the right arm. she gave history of chickenpox during childhood. There was no history of migration outside Punjab.

On examination, multiple, hypopigmented grouped round/oval macules were seen on the right arm along the distribution of segment C8T1 (ulnar nerve distribution). No other skin lesion was seen. Wasting of muscles of right arm and interossei muscles of right hand was visible. Slight clawing deformity of little and ring finger was appreciated. Cutaneous sensory impairment was present on these two fingers. No thickened nerves were palpable. She was diagnosed as a case of post herpetic neuralgia with involvement of ulnar nerve. Bhargava et al described deltoid nerve paresis following herpes zoster with dropping and flattening of shoulder after 3 months follow up.[1] Motor involvement in herpes zoster is rare. In our patient it seemed a permanent disability as she showed no improvement within 6 months of follow up. In our opinion, we can reduce the disfunctioning and disfigurement that results due to motor/ sensory involvement of the nerves, if we start oral as well as topical acyclovir from the very beginning especially in young patients.

 
  References Top

1.Bhargava R, Agrawal US, Narayan R. Axillary nerves palsy following herpes zoster. Ind J Dermatol Venereol leprol 1994;60:97-9.  Back to cited text no. 1    




 

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