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Postgraduate Medical Journal 2004;80:26
© 2004 Fellowship of Postgraduate Medicine

Severe herpes zoster after infliximab infusion

A Kinder , S Stephens , N Mortimer , P Sheldon

Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK; alisonkinder@dsl.pipex.com

Keywords: infliximab; herpes zoster

The first 100% of the full text of this article appears below.

This 72 year old man developed an ache in his shoulder after his second infusion of infliximab (3 mg/kg) for his rheumatoid arthritis. By the next day vesicles had developed in the T3 dermatome. He visited his general practitioner who prescribed aciclovir but unfortunately he did not take it as he worried about aciclovir interacting with his other medications. Two days later he visited the rheumatology department with a severe herpes zoster rash (fig 1Go). With increased prescribing of biological therapy, severe forms of herpes zoster rashes are going to become much more common.


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Figure 1 Severe herpes zoster in the T3 dermatome (published with patient’s permission).

 







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