A case of adult chickenpox with the first symptom in the oral cavity

  • INADA Yoshiki
    First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry Division of Dentistry and Oral Surgery, Yuko-Kai General Hospital
  • IIDA Seiji
    First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • HARADA Takeshi
    First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • YAMANISHI Tadashi
    First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
  • KITAGAWA Taiji
    Division of Dentistry and Oral Surgery, Yuko-Kai General Hospital
  • KOGO Mikihiko
    First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry

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Other Title
  • 口腔を初発症状とした成人水痘と考えられる1例
  • ショウレイ ホウコク コウクウ オ ショハツ ショウジョウ ト シタ セイジン スイトウ ト カンガエラレル 1レイ

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Abstract

Chickenpox is a common infection due to varicella-zoster virus (VZV), which generally occurs in childhood. However, the incidence of chickenpox in adults is increasing because of changes in the social environment. In this paper, we report a case of adult chickenpox with the first symptom in the oral cavity. A 32-year-old Japanese woman presented with palatal ulcerative lesions and many bullae on her skin. The first symptom was continuous spontaneous pain at the left upper molar, present for 15 days before her first visit. Intravenous and oral acyclovir was given for a clinical diagnosis of VZV infection. Although the serum antibody examination showed no evidence of VZV infection, the symptoms led to a diagnose of adult chickenpox.

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