Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster
An 80-year-old man presented with a two-day history of anorexia and decreased daily activity. A physical examination revealed an erythematous, crusted, vesicular eruption distributed along the C3-C5 dermatome. Chest x-ray and computed tomography during inspiration and expiration demonstrated an elev...
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | American Journal of Medicine Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667036425000020 |
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| author | Yasuhiro Kano |
| author_facet | Yasuhiro Kano |
| author_sort | Yasuhiro Kano |
| collection | DOAJ |
| description | An 80-year-old man presented with a two-day history of anorexia and decreased daily activity. A physical examination revealed an erythematous, crusted, vesicular eruption distributed along the C3-C5 dermatome. Chest x-ray and computed tomography during inspiration and expiration demonstrated an elevation of the left hemidiaphragm with almost no movement of the left diaphragm during respiration. These findings were consistent with left diaphragmatic paralysis due to cervical herpes zoster. As a rare type of segmental motor paresis, cervical herpes zoster can cause phrenic nerve paralysis because the phrenic nerve originates in the anterior horn of the C3 to C5 roots. Diaphragmatic paralysis results in diminished vital capacity and can lead to a decline in exercise tolerance or daily activity, especially in elderly patients. |
| format | Article |
| id | doaj-art-a2a8c49337fb4c0997d07b0f296de021 |
| institution | Kabale University |
| issn | 2667-0364 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Medicine Open |
| spelling | doaj-art-a2a8c49337fb4c0997d07b0f296de0212025-08-20T03:26:39ZengElsevierAmerican Journal of Medicine Open2667-03642025-06-011310008810.1016/j.ajmo.2025.100088Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes ZosterYasuhiro Kano0Requests for reprints should be addressed to Yasuhiro Kano, MD, Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo 183-8524, Japan.; Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, Fuchu, Tokyo, JapanAn 80-year-old man presented with a two-day history of anorexia and decreased daily activity. A physical examination revealed an erythematous, crusted, vesicular eruption distributed along the C3-C5 dermatome. Chest x-ray and computed tomography during inspiration and expiration demonstrated an elevation of the left hemidiaphragm with almost no movement of the left diaphragm during respiration. These findings were consistent with left diaphragmatic paralysis due to cervical herpes zoster. As a rare type of segmental motor paresis, cervical herpes zoster can cause phrenic nerve paralysis because the phrenic nerve originates in the anterior horn of the C3 to C5 roots. Diaphragmatic paralysis results in diminished vital capacity and can lead to a decline in exercise tolerance or daily activity, especially in elderly patients.http://www.sciencedirect.com/science/article/pii/S2667036425000020Diaphragmatic paralysisHerpes zosterSegmental motor paresis |
| spellingShingle | Yasuhiro Kano Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster American Journal of Medicine Open Diaphragmatic paralysis Herpes zoster Segmental motor paresis |
| title | Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster |
| title_full | Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster |
| title_fullStr | Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster |
| title_full_unstemmed | Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster |
| title_short | Tracing the Rash: Diaphragmatic Paralysis Following Cervical Herpes Zoster |
| title_sort | tracing the rash diaphragmatic paralysis following cervical herpes zoster |
| topic | Diaphragmatic paralysis Herpes zoster Segmental motor paresis |
| url | http://www.sciencedirect.com/science/article/pii/S2667036425000020 |
| work_keys_str_mv | AT yasuhirokano tracingtherashdiaphragmaticparalysisfollowingcervicalherpeszoster |