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Herpes zoster with progression to acute varicella zoster virus-meningoencephalitis
International Journal of Dermatology, 07/31/09
Braun–Falco M et al. – Progression of HZ to ME seems to occur more often than normally believed. Female patients above 80 years of age with either ophthalmic involvement or disseminated HZ are at a potentially high risk of the development of ME. The general recommendation of starting oral glucocorticosteroids from day 1 of antiviral treatment in older patients must be questioned, as it may stimulate VZV replication and dissemination.
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