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Hyperemic conjunctiva and skin rash over the right side of the face.
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Figure 1: Hyperemic conjunctiva and skin rash over the right side of the face.

Mentions: A six-year-old girl presented to the Pediatric Department at Wonkwang University hospital with the chief complaint of mild fever, hyperemic conjunctiva, and a skin rash over the right side of her forehead (Fig. 1). She was diagnosed with Herpes zoster and admitted to the pediatric department. There were no significant findings in laboratory testing. She was administered intravenous acyclovir (250 mg) every eight hours and antibiotics (a third generation cephalosporin, 500 mg) every 12 hours for five days.

A Case of Optic Neuritis Complicating Herpes Zoster Ophthalmicus in a Child

Hong SM, Yang YS - Korean J Ophthalmol (2010)

Bottom Line: During the hospitalization, her visual acuity decreased.Visual acuity improved with one month of treatment with acyclovir and steroids.Therapy with antivirals and steroids may be effective in patients with childhood HZO optic neuritis.

Affiliation: Department of Ophthalmology, Wonkwang University School of Medicine, Iksan, Korea.

ABSTRACT
Here we report a case of optic neuritis in the setting of herpes zoster ophthalmicus (HZO) in a child. A six-year-old girl presented with HZO in the right eye. During the hospitalization, her visual acuity decreased. Fluorescein angiography (FAG) and optical coherence tomography revealed optic neuritis in the affected eye. Visual acuity improved with one month of treatment with acyclovir and steroids. FAG analysis showed no evidence of leakage at the optic disc. At one year post treatment, the patient's fundus exam and vision were normal. Therapy with antivirals and steroids may be effective in patients with childhood HZO optic neuritis.

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