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Herpes zoster in Child
See also in: Anogenital,Hair and Scalp,Oral Mucosal Lesion
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Herpes zoster in Child

See also in: Anogenital,Hair and Scalp,Oral Mucosal Lesion
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Contributors: Susan Burgin MD, Craig N. Burkhart MD, Dean Morrell MD
Other Resources UpToDate PubMed

Synopsis

Zoster, or shingles, is a reactivation of a latent infection with varicella-zoster virus (VZV). Annual incidence is less than 1/1000 in children aged younger than 10 years. Maternal varicella infection during pregnancy, infection during the first year of life, and immunocompromised status are risk factors for zoster development in childhood.

Although the onset of cutaneous zoster in adults typically involves a 1-3 day prodrome of burning pain or tingling in the affected dermatome, this is rarely observed in children. Postherpetic neuralgia is also rare in children.

If it occurs, zoster encephalitis usually appears in the first 2 weeks after the onset of lesions and has a 10%-20% mortality rate. Disseminated zoster occurs 5-10 days after the onset of dermatomal disease. It is defined as more than 20 lesions outside the initial dermatome of involvement.

Codes

ICD10CM:
B02.9 – Zoster without complications

SNOMEDCT:
4740000 – Zoster

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 04/12/2018
Last Updated: 10/18/2018
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Herpes zoster in Child
See also in: Anogenital,Hair and Scalp,Oral Mucosal Lesion
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Herpes zoster : Grouped configuration, Painful skin lesions, Umbilicated vesicle
Clinical image of Herpes zoster
Grouped vesicles on an erythematous base in the T3 distribution.
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