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Herpes zoster ophthalmicus with ocular involvement in overtreated hyperthyroidism
- Source :
- Indian Journal of Ophthalmology, Vol 68, Iss 7, Pp 1457-1458 (2020)
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer Medknow Publications, 2020.
-
Abstract
- A 25-year-old man, with a history of hyperthyroidism presented with herpes zoster ophthalmicus (HZO) with neurotrophic ulcer and superadded infection 4 weeks after a sudden decrease in his thyroid hormones, caused by overtreatment of hyperthyroidism and radioactive iodine therapy. He underwent lateral tarsorrhaphy and was started on conservative treatment for the ulcer. The ulcer had resolved after 2 months. HZO is caused by reactivation of varicella-zoster virus by a decline in cell-mediated immunity. The decrease in thyroid hormones can also reactivate varicella-zoster by immunosuppression. This case highlights the importance of stability in thyroid hormones in a patient with thyroid disease and history of varicella.
Details
- Language :
- English
- ISSN :
- 03014738, 19983689, and 64829774
- Volume :
- 68
- Issue :
- 7
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4deb84e32b97427cbd48d61b64829774
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/ijo.IJO_1759_19