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Review
. 2017 Dec;31(4):811-826.
doi: 10.1016/j.idc.2017.07.016.

Herpes Zoster in the Older Adult

Amrita R John  1 , David H Canaday  2
Affiliations
Review

Herpes Zoster in the Older Adult

Amrita R John et al. Infect Dis Clin North Am. 2017 Dec.

Abstract

Herpes zoster (HZ) is the result of reactivation of latent varicella zoster virus (VZV) and occurs most frequently in older adults. Classically, HZ presents as a unilateral, selflimited, dermatomal rash. Postherpetic neuralgia (PHN) is a common sequela, presenting as severe pain that persists after the rash has resolved. In the elderly, PHN can be debilitating and requires a prompt diagnosis, treatment with antivirals, and adequate pain control. A longer-term pain management strategy is required if PHN occurs. A modestly effective vaccine exists and is recommended for older individuals.

Keywords: Older adults; Postherpetic neuralgia; Shingles; Vaccination; Zoster.

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