A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty
Herpes zoster ophthalmicus (HZO) occurs due to reactivation of dormant varicella zoster virus infection in the ophthalmic division of the trigeminal nerve. Hutchinson’s sign, a herpetic skin lesion in the nasal tip, is a predictor of ocular complications, as the nasal tip area and ocular structure a...
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| Format: | Article |
| Language: | English |
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Korean Rhinologic Society
2022-07-01
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| Series: | Journal of Rhinology |
| Subjects: | |
| Online Access: | http://j-rhinology.org/upload/pdf/jr-2022-00404.pdf |
| _version_ | 1811178127894773760 |
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| author | Il Gu Jung Hahn Jin Jung Woo Sub Shim |
| author_facet | Il Gu Jung Hahn Jin Jung Woo Sub Shim |
| author_sort | Il Gu Jung |
| collection | DOAJ |
| description | Herpes zoster ophthalmicus (HZO) occurs due to reactivation of dormant varicella zoster virus infection in the ophthalmic division of the trigeminal nerve. Hutchinson’s sign, a herpetic skin lesion in the nasal tip, is a predictor of ocular complications, as the nasal tip area and ocular structure are innervated by the same nasociliary nerve. Patients who present with Hutchinson’s sign should be referred to an ophthalmologist due to possibility of ocular complications. Here, we present a case of a 44-year-old man with HZO that was confused with delayed rhinoplasty complication. The patient presented with nasal tip skin lesions 17 years after undergoing augmentation rhinoplasty. A graft-related infection was suspected due to operation history and skin lesions. However, surgical exploration disclosed no infection or inflammation, and serological tests revealed positive varicella zoster virus immunoglobulin M, and immunoglobulin G, antibodies. Based on these findings, the patient was diagnosed with HZO. Further, the patient received antiviral treatment with famciclovir. The lesions gradually improved with conservative treatment and became almost unrecognizable. Therefore, HZO should be considered when there is an unexplained skin lesion at the nasal tip in patients with history of rhinoplasty. |
| first_indexed | 2024-04-11T06:12:56Z |
| format | Article |
| id | doaj.art-652198a000c340b9a681940a49cac305 |
| institution | Directory Open Access Journal |
| issn | 1229-1498 2384-4361 |
| language | English |
| last_indexed | 2024-04-11T06:12:56Z |
| publishDate | 2022-07-01 |
| publisher | Korean Rhinologic Society |
| record_format | Article |
| series | Journal of Rhinology |
| spelling | doaj.art-652198a000c340b9a681940a49cac3052022-12-22T04:41:09ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612022-07-0129211812110.18787/jr.2022.00404757A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of RhinoplastyIl Gu Jung0Hahn Jin Jung1Woo Sub Shim2Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of KoreaHerpes zoster ophthalmicus (HZO) occurs due to reactivation of dormant varicella zoster virus infection in the ophthalmic division of the trigeminal nerve. Hutchinson’s sign, a herpetic skin lesion in the nasal tip, is a predictor of ocular complications, as the nasal tip area and ocular structure are innervated by the same nasociliary nerve. Patients who present with Hutchinson’s sign should be referred to an ophthalmologist due to possibility of ocular complications. Here, we present a case of a 44-year-old man with HZO that was confused with delayed rhinoplasty complication. The patient presented with nasal tip skin lesions 17 years after undergoing augmentation rhinoplasty. A graft-related infection was suspected due to operation history and skin lesions. However, surgical exploration disclosed no infection or inflammation, and serological tests revealed positive varicella zoster virus immunoglobulin M, and immunoglobulin G, antibodies. Based on these findings, the patient was diagnosed with HZO. Further, the patient received antiviral treatment with famciclovir. The lesions gradually improved with conservative treatment and became almost unrecognizable. Therefore, HZO should be considered when there is an unexplained skin lesion at the nasal tip in patients with history of rhinoplasty.http://j-rhinology.org/upload/pdf/jr-2022-00404.pdfherpes zoster ophthalmicushutchinson’s signrhinoplastyalloplastic materialcomplication |
| spellingShingle | Il Gu Jung Hahn Jin Jung Woo Sub Shim A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty Journal of Rhinology herpes zoster ophthalmicus hutchinson’s sign rhinoplasty alloplastic material complication |
| title | A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty |
| title_full | A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty |
| title_fullStr | A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty |
| title_full_unstemmed | A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty |
| title_short | A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty |
| title_sort | case with herpes zoster ophthalmicus mimicking delayed complication of rhinoplasty |
| topic | herpes zoster ophthalmicus hutchinson’s sign rhinoplasty alloplastic material complication |
| url | http://j-rhinology.org/upload/pdf/jr-2022-00404.pdf |
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