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Thermal patterns in zoster.

Cojocaru IM, Cojocaru MC, Voiculescu VM, Bozdoc-Ionescu OB, Cartog AM, Giurcaneanu C - J Med Life (2015 Jul-Sep)

Bottom Line: To establish the importance of thermal imaging in the follow up of Zoster Zone with different localization.An intense and diffuse infrared emission is highly suggestive for the inflammation and implies that a more aggressive treatment should be initiated.After the clinical resolution of the affected area, the symmetry of the thermal pattern should be restored.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Elias University Hospital, Bucharest, Romania.

ABSTRACT

Rationale: Varicella zoster virus is a neurotropic virus that causes an infectious disease characterized by skin changes and neuropathic pain. After the resolution of the first infection, the virus lies dormant within the sensory ganglia. The reactivation of the virus causes zoster. An alteration in skin infrared emission might be expected in the areas of the skin affected by inflammatory changes and demyelination of the affected peripheral nerve.

Objective: To establish the importance of thermal imaging in the follow up of Zoster Zone with different localization. An infrared thermal camera was used in order to assess if the evolution of the disease determines a thermal pattern.

Methods and results: Infrared thermography can be used for the assessment of the affected area also by using a thermography camera that is sensitive to the infrared spectrum. An intense and diffuse infrared emission is highly suggestive for the inflammation and implies that a more aggressive treatment should be initiated. After the clinical resolution of the affected area, the symmetry of the thermal pattern should be restored. If the asymmetry persists, a neuropathic complication of the virus reactivation could be involved.

Discussions: The integration of infrared thermography with the clinical findings is very useful in order to create a complete picture of the zoster lesions and this method could determine the beginning of a correct treatment and, by doing so, minimizing the risk of complications.

No MeSH data available.


Related in: MedlinePlus

Herpes Zoster at L1–L2 dermatomes level (right groin area)
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Figure 4: Herpes Zoster at L1–L2 dermatomes level (right groin area)

Mentions: In the acute phase, the affected areas are warmer (as seen in Fig. 1-6) and after the remission, the thermal symmetry should be restored (Fig. 2, 3). However, thermal asymmetry after herpes zoster can be detected during the follow-up process. Colder or warmer patterns are present in Fig. 4-6.


Thermal patterns in zoster.

Cojocaru IM, Cojocaru MC, Voiculescu VM, Bozdoc-Ionescu OB, Cartog AM, Giurcaneanu C - J Med Life (2015 Jul-Sep)

Herpes Zoster at L1–L2 dermatomes level (right groin area)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4556918&req=5

Figure 4: Herpes Zoster at L1–L2 dermatomes level (right groin area)
Mentions: In the acute phase, the affected areas are warmer (as seen in Fig. 1-6) and after the remission, the thermal symmetry should be restored (Fig. 2, 3). However, thermal asymmetry after herpes zoster can be detected during the follow-up process. Colder or warmer patterns are present in Fig. 4-6.

Bottom Line: To establish the importance of thermal imaging in the follow up of Zoster Zone with different localization.An intense and diffuse infrared emission is highly suggestive for the inflammation and implies that a more aggressive treatment should be initiated.After the clinical resolution of the affected area, the symmetry of the thermal pattern should be restored.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Elias University Hospital, Bucharest, Romania.

ABSTRACT

Rationale: Varicella zoster virus is a neurotropic virus that causes an infectious disease characterized by skin changes and neuropathic pain. After the resolution of the first infection, the virus lies dormant within the sensory ganglia. The reactivation of the virus causes zoster. An alteration in skin infrared emission might be expected in the areas of the skin affected by inflammatory changes and demyelination of the affected peripheral nerve.

Objective: To establish the importance of thermal imaging in the follow up of Zoster Zone with different localization. An infrared thermal camera was used in order to assess if the evolution of the disease determines a thermal pattern.

Methods and results: Infrared thermography can be used for the assessment of the affected area also by using a thermography camera that is sensitive to the infrared spectrum. An intense and diffuse infrared emission is highly suggestive for the inflammation and implies that a more aggressive treatment should be initiated. After the clinical resolution of the affected area, the symmetry of the thermal pattern should be restored. If the asymmetry persists, a neuropathic complication of the virus reactivation could be involved.

Discussions: The integration of infrared thermography with the clinical findings is very useful in order to create a complete picture of the zoster lesions and this method could determine the beginning of a correct treatment and, by doing so, minimizing the risk of complications.

No MeSH data available.


Related in: MedlinePlus