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DR - Dermato > HERPES ZOSTER > Flashcards

HERPES ZOSTER Flashcards

1
Q

Epidemiologia

A

Adolecentes y Adultos

patologia de Base (HIV)

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2
Q

Lesion Elemental y caracteristicas

A

Vesicula

Agrupadas en Racimos
ardor y prurito

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3
Q

Localizacion

A

Cara : V par Craneano rama Oftalmica

Tronco - T3 a L2

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4
Q

Clinica en inmunocomprometidos

A 
Lesiones Necroticas y Hemorragicas
Verrugosas
Lesiones Cronicas
multiples recurrencias 
Diseminacion Viceral (Pulmon, Higado y Cerebro)
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5
Q

Complicaciones

A

Cutanea: Sobreinfeccion
Neurologias: Meningitis, mielitis transversa, paraaalisis, etc etc etc

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6
Q

diagnostico

A

PCR
Inmunoflorescencia directa
biopsia
Citodiagnostico de Tzanck

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7
Q

tratamiento

A

Inmunocompetente: Aciclovir 800mg 5 veces al dia VO por 7 dias

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8
Q

inmunocomprometido

A

Aciclovir 30mg.kg.dia cada 8 horas EV por 7 das

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9
Q

tto en resistentes

A

Foscarnet 40mg.kg.dia cad a8horas EV hasta remision

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10
Q

TTO coadjuvante

A

Analgesicos sistemicos
Neurologia POsherpetica: Carbamacepina
Amtriptilina

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DR - Dermato (12 decks)

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