Turkish Journal of Geriatrics 2017 , Vol 20, Issue 3
HERPES ZOSTER IN GERIATRIC PATIENTS: CLINICAL COURSE AND COMPLICATIONS
Güldehan ATIŞ1, Ersin AYDIN2, İlknur KIVANÇ ALTUNAY3
1University of Medical Sciences, Haydarpaşa Numune Training and Research Hospital Department of Dermatology ISTANBUL
2TEM Hospital, Department of Dermatology ISTANBUL
3University of Medical Sciences Şişli Hamidiye Etfal Training and Research Hospital Department of Dermatology ISTANBUL
Introduction: Herpes Zoster is a skin disease which occurs following the reactivation of varicella zoster virus. Our aim was to investigate the incidence, clinical course and complications of herpes zoster in a geriatric population.

Materials and Method: Geriatric patients with the diagnosis of herpes zoster who admitted to our outpatient clinic during one-year period were recruited to this study. The incidence of patients with herpes zoster was calculated among all patients who admitted to our outpatient clinic. Additionally; age, gender, the presence and duration of prodromal pain, potential triggering factors and complications were noted. The severity of pain was measured with the Visual Analogue Scale.

Results: In total, 3386 geriatric patients were admitted to our dermatology outpatient clinic over the one-year period. Of these, 53 patients (1.56%) were diagnosed with herpes zoster. The highest frequency of herpes zoster was detected in July (3.31%), whereas the lowest frequency was detected in October (0.40%). Prodromal pain was observed in 28 patients (52.8%). The mean Visual Analogue Scale score was 5.98±2.71. There were triggering factors in 41 patients (77.4%). Complications of herpes zoster occurred in seven patients (13.2%). Visual Analogue Scale scores were significantly higher in patients who had prodromal pain (p<0.05).

Conclusion: The presence of prodromal pain in geriatric patients may be highlighted that the disease will be continued with severe pain. Keywords : Herpes zoster; Geriatrics; Aged