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DOI: 10.1016/J.JHSB.2005.04.010
Herpes Zoster in the Ulnar Nerve DistributionFrom the Hand and Upper Limb Centre, University of Western Ontario, London, Ontario, Canada and Hand Service, Hospital for Special Surgery, New York, USA Correspondence: Dr Andrew J. Weiland, Professor of Surgery, Weill Medical College of Cornell University, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Tel.: +212 606 1575; Fax: +212 535 0426. E-mail: weilanda{at}hss.edu Varicella zoster is a ubiquitous virus which usually affects school-aged children as Chicken Pox. While the initial disease is self-limiting and seldom severe, the virus remains in the body. It lies dormant in the dorsal root ganglia and reactivation may occur years later with variable presentations as Herpes Zoster, or Shingles. While Shingles is common, it rarely presents exclusively in the upper extremity. It is important that hand surgeons recognize the possibility of zoster infection, with or without a rash, when evaluating the onset of neuralgia in a dermatomal distribution in the upper limb. Early diagnosis allows rapid and appropriate treatment, with a lower risk of complications. We report on a case of Herpes Zoster isolated to the ulnar nerve distribution in a young woman.
Key Words: Herpes Zoster • rash • shingles • peripheral nerve • hand
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