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KMID : 1103720120660030213
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Journal of the Korean Society of Radiology
2012 Volume.66 No. 3 p.213 ~ p.216
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Herpes Zoster Ophthalmicus Presenting as Acute Orbital Myositis Preceding a Skin Rash: A Case Report
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Oh Ha-Yeun
Cho Seong-Whi
Kim Sung-Hun
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Abstract
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Herpes zoster ophthalmicus, in which orbital symptoms and signs appear before the onset of a skin rash, is very rare. We experienced such a case and therefore report on it via magnetic resonance imaging. A 48-year-old man with pain and swelling of left eye and headache presented 2 days before onset of a zoster skin rash. On orbit-al MRI, edematous thickening of the left lateral rectus muscle with high signal in-tensity was revealed. After contrast injection, the lateral rectus muscle demonstrat-ed heterogenous enhancement. Also, diffuse contrast enhancement was noted at left preseptal space, lacrimal gland and periorbital soft tissue. The man was treated with antiviral agents and prednisolone. Two weeks later, he recovered from the skin manifestations and most of the orbital manifestations except for the diplopia and restricted lateral movement.
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KEYWORD
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Orbital Myositis, Herpes Zoster Ophthalmicus, Magnetic Resonance Imaging
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