帶狀泡疹(生蛇, 連續15天病情跟進)Herpes zoster, Shingle

Below shows : DAY 3 AFTER THE ONSET OF PAIN IN SKIN, ANTI-VIRAL WAS STARTED ON THE SAME DAY.

Below: Day 3 skin rash involving dermatome T2 area. 

Close-up view shows painful vesicles with clear fluid inside.

Below: DAY 7 AFTER THE ONSET OF PAIN. ORAL ANTI-VIRAL WAS STARTED BUT HAD NOT YET TAKEN EFFECT.

Below: Day 7 Some of the small vesicles had dried up and crusts were seen overlying them but some of the bigger vesicles/blisters continued to grow and increased in size.

Below: DAY 10 AFTER START OF SKIN PAIN. ORAL ANTI-VIRAL HAD TAKEN EFFECT AND CRUSTS WERE SEEN OVERLYING THE RUPTURED BLISTERS/VESICLES.

Below: Day 10 Most of the vesicles/blisters had dried up with crusts/scabs overlying them

Below: DAY 15 AFTER START OF SKIN PAIN. ORAL ANTI-VIRAL WAS STOPPED. MOST OF THE LESIONS HAD RESOLVED.

90% of the lesions had resolved but there was still post-herpetic neuralgia. The patient still required strong analgesics.