title: [Case of acute pain of herpes zoster with preceding immobility of the shoulder].
abstract: A 62-year-old-man treated for nephrotic syndrome with steroid developed acute pain of herpes zoster after immobility of the shoulder. Steroids might have suppressed the first symptoms of pain. But immobility probably appeared as VZV infection developing to spinal ventral root. Suprascapular nerve block was effective for severe pain of the right arm. Sympathetic nerve contained in suprascapular nerve might have been blocked. Sympathetically maintained pain may occur when primary afferent neurons are excited by inflammation due to VZV infection. Pain was abolished 17 weeks after the onset of rash using blocks three times and amitriptyrin and valproic acid. Immobility was resolved seven months after the onset of rash.
authors.affiliation: Department of Anesthesia, Kochi Red Cross Hospital, Kochi.
authors.forename: Kimiko
authors.initials: K
authors.lastname: Takekawa
mesh_terms: D059787:Acute Pain / Q000209:etiology* / Q000628:therapy; D000639:Amitriptyline / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001340:Autonomic Nerve Block; D006562:Herpes Zoster / Q000150:complications* / Q000628:therapy; D006801:Humans; D018476:Hypokinesia / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000150:complications; D012782:Shoulder; D016896:Treatment Outcome; D014635:Valproic Acid / Q000627:therapeutic use
chemical_list: D000927:Anticonvulsants; D000928:Antidepressive Agents; D000639:Amitriptyline; D014635:Valproic Acid