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case 26 case post herpetic neuralgia

Updated: Jan 5

Case 16 post-herpetic neuralgia

Case 86 years female no underlying disease ( BW 40 kg)

history : week PTA having active herpes zoster at T4 area left side of back already recieved acyclovir ,came to hospital today due to severe pain at zoster lesion

Physical examination : purplish plaque no vesicle along t4 dermatome left side of back

Laboratory : Cr 0.85 ( ccr 62)

Impression : post herpetic neuralgia

Treatment :

  1. Paracetamol 325 mg 1 tab prn q 6 hr

  2. Neurontin ( gabapentin ) 300 mg po hs

  3. Capsaisin gel apply bid

  4. Follow up 1 week for adjust neurontin dose

Click to read more about neurontin

Click to read more about post herpetic neuralgia

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