Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Jan 1988
Antiviral treatment of a serious herpes simplex infection: encephalitis.
Herpes simplex encephalitis is the most common cause of sporadic encephalitis in the western world. Patients usually have altered levels of consciousness, altered levels of mentation, fever, headache, and personality changes. These may progress to hemiparesis and seizures. ⋯ It is essential to treat early; patients who are young and have not reached coma or impaired consciousness may show 65% recovery and return to normal function. Development of new antiviral drugs or other types of therapies is desirable. Herpetic skin lesions are likely to be more confusing than diagnostic because other types of encephalitis with fever often precipitate recurrent herpes that is unrelated to the encephalitis.
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J. Am. Acad. Dermatol. · Jan 1988
Acyclovir for recurrent erythema multiforme caused by herpes simplex.
Herpes-associated erythema multiforme can be controlled by continuous suppressive treatment with oral acyclovir. Erythema multiforme is not prevented if oral acyclovir is administered after a herpes simplex recurrence is evident and it is of no value after erythema multiforme has occurred. ⋯ Erythema multiforme may be precipitated by orolabial and genital recurrences and by recurrences on skin of the buttocks and other sites. Some herpetic recurrences are associated with erythema multiforme and some are not and episodes of erythema multiforme are not always associated with clinical herpetic recurrences.
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J. Am. Acad. Dermatol. · Jan 1988
Case ReportsNotalgia paresthetica. Case reports and histologic appraisal.
Notalgia paresthetica, literally an abnormal sensation of the back, is not a well-known entity in the medical community. However, we have recently studied 14 cases that have demonstrated relatively uniform clinical and histopathologic features. To our knowledge the latter of these have not been described previously. We believe it is important to familiarize the clinician with this relatively common entity.