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  Vol. 134 No. 3, March 1998 TABLE OF CONTENTS
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  The Cutting Edge: Challenges in Medical and Surgical Therapeutics
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 •Viral Infections
 •Neurology
 •Herpes
 •Dermatology, Other
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Tumescent Infiltration of Corticosteroids, Lidocaine, and Epinephrine Into Dermatomes of Acute Herpetic Pain or Postherpetic Neuralgia

Stephen E. Chiarello, MD
From the Dermatology and Skin Cancer Center of Southwest Florida, Port Charlotte.

Arch Dermatol. 1998;134:279-281.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF CASES

Twenty-six patients with herpetic neuralgia were divided into 2 groups. Group 1 consisted of 13 patients with acute herpetic neuralgia, arbitrarily defined as pain beginning from 0 days to 3 months after the onset of herpes zoster infection. Group 2 consisted of 13 patients treated during the course of the postherpetic neuralgia, arbitrarily defined as pain lasting 3 months or more from the onset of the herpes zoster outbreak.

Initial pain was scored subjectively by the patient on a scale of 0 to 10. Zero equaled no pain; 1 to 4, a level of pain that was annoying without having substantial effects on the patient's lifestyle; 5 to 9, pain that affected normal routines and activities; and 10, unbearable pain that was extremely incapacitating.


THERAPEUTIC CHALLENGE

Pain from herpes zoster infection, whether acute or chronic, continues to be a vexing problem despite the widespread use of antiviral medications. . . . [Full Text of this Article]

SOLUTION

COMMENT







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