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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]]
Rowbotham  MCFields  HL Post-herpetic neuralgia: the relation of pain complaint, sensory disturbance, and skin temperature. Pain 1989;39 (2) 129- 144
PubMed Link to Article[[XSLOpenURL/10.1016/0304-3959(89)90001-8]]
Biagioni  PALamey  PJ Electronic infrared thermography as a method of assessing herpes labialis infection. Acta Derm Venereol 1995;75 (4) 264- 268
PubMed
Ammer  KSchartelmueller  TMelnizky  P Thermal imaging in acute herpes zoster or post-zoster neuralgia. Skin Res Technol 2001;7 (4) 219- 222
PubMed Link to Article[[XSLOpenURL/10.1034/j.1600-0846.2001.70403.x]]
Hobbins  WBAmmer  K Controversy: why is a paretic limb cold: High activity of the sympathetic nerve system or weakness of the muscles? Thermol Österr 1996;6 (1) 42- 45
Han  SSJung  CHLee  SCJung  HJKim  YH Does skin temperature difference as measured by infrared thermography within 6 months of acute herpes zoster infection correlate with pain level? Skin Res Technol 2010;16 (2) 198- 201
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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