Herpes Zoster Ophthalmicus Complicated by Ophthalmoplegia in a Patient with Rheumatoid Arthritis.
- Author:
Hye Soon LEE
1
;
Jae Bum JUN
;
Wan Sik UHM
;
Jeong Cheol SEO
;
Ju han KIM
;
Myung Kyoo KO
;
Jung won BYEON
;
Dae Hyun YOO
;
Seong Yoon KIM
Author Information
1. The Hospital for Rheumatic Diseases, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Rheumatoid arthritis;
Infection;
Herpes zoster ophthalmicus;
Ophthalmoplegia
- MeSH:
Acyclovir;
Arthritis, Rheumatoid*;
Cranial Nerves;
Dilatation;
Female;
Herpes Zoster Ophthalmicus*;
Herpes Zoster*;
Humans;
Middle Aged;
Ophthalmoplegia*;
Orbit;
Pupil;
Skin;
Trigeminal Nerve
- From:The Journal of the Korean Rheumatism Association
2000;7(2):190-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There have been many reports about infections in patients with rheumatoid arthritis (RA) being more frequent than general population. Increased susceptability to infections in RA could be related to disease itself, comorbid conditions, and use of immunosuppressive drugs and steroid. Herpes zoster viral infections also have been reported to be more frequent in RA. We describe a case of 60-year-old woman with RA presented with ophthalmoplegia associated with herpes zoster ophthalmicus. Initially she complained of right orbital and periorbital pain. Six days later, she noted a cutaneous herpes zoster eruption involving the right 1st division of trigeminal nerve. Three days after developing skin eruption, she developed a right ptosis with external ophthalmoplegia and pupil dilatation resulting from the 3rd and 6th cranial nerve involvement. She was placed on intravenous acyclovir for 7days. Eight weeks after the onset of ophthalmoplegia, she recovered nearly completely.
