Herpes zóster cutáneo. Epidemiología y características clínicas en un centro hospitalario de tercer nivel

Abstract

IntroductionShingles is an infectious dermatosis, caused by reactivation of varicella zoster virus (VZV). There is little information regarding clinical and epidemiological characteristics, in patients with immunosuppression. MethodologyThe objective of this article is to describe the clinical characteristics, associated comorbidities and incidence of period in hospitalized patients in a third level reference hospital with shingles’ diagnosis. A case review was carried out in the period between January 2021 and January 2023. ResultsOf a total of 54 cases, 66.6% were women and 33.3% men; the average presentation age was 51.4 years, 35.2% were ≥ 60 years old, in those who presented immunosuppression, it was less than 50 years; The four most frequent associated comorbidities were autoimmune diseases 46.3%, 20.4% neoplasms, type 2 diabetes mellitus 11.1% and HIV infection 7.4%. The 55.5% had a localized presentation and in 44.4% it was disseminated, 18.5% presented at least one complication, the most frequent was keratoconjunctivitis. The cervical dermatomes were the most affected. Mortality was 1.9%. ConclusionsShingles in patients with immunosuppression occurs at earlier ages and more frequently in a disseminated way.