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S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia
Author(s) -
Gross Gerd E.,
Eisert Lisa,
Doerr Hans Wilhelm,
Fickenscher Helmut,
Knuf Markus,
Maier Philip,
Maschke Matthias,
Müller Rainer,
Pleyer Uwe,
Schäfer Michael,
Sunderkötter Cord,
Werner Ricardo N.,
Wutzler Peter,
Nast Alexander
Publication year - 2020
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/ddg.14013
Subject(s) - postherpetic neuralgia , medicine , dermatology , neuralgia , shingles , pediatrics , virology , alternative medicine , neuropathic pain , pathology , anesthesia , virus
Summary The present guidelines are aimed at residents and board‐certified specialists in the fields of dermatology, ophthalmology, ENT, pediatrics, neurology, virology, infectious diseases, anesthesiology, general medicine and any other medical specialties involved in the management of patients with herpes zoster. They are also intended as a guide for policymakers and health insurance funds. The guidelines were developed by dermatologists, virologists, ophthalmologists, ENT physicians, neurologists, pediatricians and anesthesiologists/pain specialists using a formal consensus process (S2k). Readers are provided with an overview of the clinical and molecular diagnostic workup, including antigen detection, antibody tests and viral culture. Special diagnostic situations and complicated disease courses are discussed. The authors address general and special aspects of antiviral therapy for herpes zoster and postherpetic neuralgia. Furthermore, the guidelines provide detailed information on pain management including a schematic overview, and they conclude with a discussion of topical treatment options.