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      An unusual presentation of herpes zoster ophthalmicus: orbital myositis preceding vesicular eruption

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      American Journal of Ophthalmology
      Elsevier BV

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          Abstract

          To present a case of orbital myositis associated with herpes zoster ophthalmicus. Observational case report. A 47-year-old woman with acute retrobulbar eye pain and diplopia preceding the vesicular rash of herpes zoster ophthalmicus was evaluated and treated. Magnetic resonance imaging showed enlargement and enhancement of extraocular muscles consistent with an inflammatory myopathy. Following acyclovir and prednisone treatment, all symptoms resolved, and neuralgia did not develop. Herpes zoster may cause symptoms and signs of orbital myositis before eruption of cutaneous skin lesions and thus should be considered in the differential diagnosis of an acute orbital myositis.

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          Author and article information

          Journal
          American Journal of Ophthalmology
          American Journal of Ophthalmology
          Elsevier BV
          00029394
          September 2003
          September 2003
          : 136
          : 3
          : 574-575
          Article
          10.1016/S0002-9394(03)00323-4
          12967827
          8a80d997-5139-4dcc-b588-3177fe107441
          © 2003

          https://www.elsevier.com/tdm/userlicense/1.0/

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