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Correspondence |

Thermographic Follow-up of a Mild Case of Herpes Zoster

Jin Woong Lee, MD; Dong Ha Kim, MD; Hye In Lee, MD; Tae Young Han, MD; Kapsok Li, MD; Seong Jun Seo, MD, PhD; Chang Kwun Hong, MD, PhD
Arch Dermatol. 2010;146(9):1053-1055. doi:10.1001/archdermatol.2010.231.
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We report a case of herpes zoster with thermographic follow-up. This case revealed a correlation of thermal image with intensity of pain. A thermogram might be used as an objective assessment tool of subjective pain symptoms in herpes zoster.

Wareham  DWBreuer  J Herpes zoster. BMJ 2007;334 (7605) 1211- 1215
PubMed Link to Article[[XSLOpenURL/10.1136/bmj.39206.571042.AE]]
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PubMed Link to Article[[XSLOpenURL/10.1016/0304-3959(89)90001-8]]
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PubMed Link to Article[[XSLOpenURL/10.1034/j.1600-0846.2001.70403.x]]
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PubMed Link to Article[[XSLOpenURL/10.1111/srt.2010.16.issue-2]]
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Figure 2.

Data points (A), thermograms (B-E), and clinical images (F-I) of our patient with herpes zoster eruption. A, Progression of temperature differences between lesions and contralateral normal (control) skin (ΔT) and pain visual analog scale (VAS) scores. Panels B, C, D, and E are thermograms corresponding in time to the respective clinical images of the lesions shown in panels F, G, H, and I, and taken on day 2 (D2), D4, D7, and D14, respectively. The solid rectangles enclose the lesional skin; dotted rectangles, control skin.

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Figure 1.

Clinical herpes zoster skin lesions (A and B) and the first thermographic findings (C and D) on day 2. The distribution of lesions was reflected on the thermograms. For example, the skin lesion on the back (B, white arrowhead) was correlated with the hot spot on the corresponding thermogram (D, black arrowhead). Asterisks indicate areas of dysesthesia but no skin eruption. Scale numbers represent body temperature in degrees Celsius adjacent to their corresponding colors.

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