Claw Hand Deformity: A Rare Complication of Herpes Zoster

Tachit Jiravichitchai,1 Waree Chira-adisai,1 Monratta Panuwannakorn,1 Sasisopin Kiertiburanakul2 1Department of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Division of Infectious Diseases, Department of Medicine, Faculty of Medicine Rama...

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Autores principales:	Jiravichitchai T, Chira-adisai W, Panuwannakorn M, Kiertiburanakul S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	herpes zoster claw hand deformity electrodiagnosis rehabilitation hand splint Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/a7dbe8eeb6284673ad1b2911abedfd4c
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spelling	oai:doaj.org-article:a7dbe8eeb6284673ad1b2911abedfd4c2021-11-18T19:40:25ZClaw Hand Deformity: A Rare Complication of Herpes Zoster1179-1462https://doaj.org/article/a7dbe8eeb6284673ad1b2911abedfd4c2021-11-01T00:00:00Zhttps://www.dovepress.com/claw-hand-deformity-a-rare-complication-of-herpes-zoster-peer-reviewed-fulltext-article-ORRhttps://doaj.org/toc/1179-1462Tachit Jiravichitchai,1 Waree Chira-adisai,1 Monratta Panuwannakorn,1 Sasisopin Kiertiburanakul2 1Department of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Division of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Tachit JiravichitchaiDepartment of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Ramathibodi Hospital, Ratchathewi, Bangkok, ThailandTel/Fax +66 2 201 1154Email tachit.jir@mahidol.ac.th; mewtechi@gmail.comAbstract: Distal upper extremity weakness is a rare complication after herpes zoster, which can be easily misdiagnosed by other nerve entrapment syndromes. We present a 31-year-old immunocompromised woman who developed a claw-like deformity of her right hand after full medical treatment and resolution of herpes zoster. The electrodiagnostic finding was compatible with right multiple mononeuropathies of the median and ulnar nerves, ongoing axonal loss, unlike the nerve entrapment patterns. The early recognition and early electrodiagnosis of herpes zoster-induced distal motor weakness, especially in the upper extremity, is necessary to exclude the nerve entrapment syndrome and to be the baseline for functional motor recovery prediction. The prognosis of functional motor recovery is considered good but may take months to years to accomplish. Rehabilitation management plays an important role after full medical treatment.Keywords: herpes zoster, claw hand deformity, electrodiagnosis, rehabilitation, hand splintJiravichitchai TChira-adisai WPanuwannakorn MKiertiburanakul SDove Medical Pressarticleherpes zosterclaw hand deformityelectrodiagnosisrehabilitationhand splintOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENOrthopedic Research and Reviews, Vol Volume 13, Pp 209-214 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	herpes zoster claw hand deformity electrodiagnosis rehabilitation hand splint Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	herpes zoster claw hand deformity electrodiagnosis rehabilitation hand splint Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Jiravichitchai T Chira-adisai W Panuwannakorn M Kiertiburanakul S Claw Hand Deformity: A Rare Complication of Herpes Zoster
description	Tachit Jiravichitchai,1 Waree Chira-adisai,1 Monratta Panuwannakorn,1 Sasisopin Kiertiburanakul2 1Department of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Division of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Tachit JiravichitchaiDepartment of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Ramathibodi Hospital, Ratchathewi, Bangkok, ThailandTel/Fax +66 2 201 1154Email tachit.jir@mahidol.ac.th; mewtechi@gmail.comAbstract: Distal upper extremity weakness is a rare complication after herpes zoster, which can be easily misdiagnosed by other nerve entrapment syndromes. We present a 31-year-old immunocompromised woman who developed a claw-like deformity of her right hand after full medical treatment and resolution of herpes zoster. The electrodiagnostic finding was compatible with right multiple mononeuropathies of the median and ulnar nerves, ongoing axonal loss, unlike the nerve entrapment patterns. The early recognition and early electrodiagnosis of herpes zoster-induced distal motor weakness, especially in the upper extremity, is necessary to exclude the nerve entrapment syndrome and to be the baseline for functional motor recovery prediction. The prognosis of functional motor recovery is considered good but may take months to years to accomplish. Rehabilitation management plays an important role after full medical treatment.Keywords: herpes zoster, claw hand deformity, electrodiagnosis, rehabilitation, hand splint
format	article
author	Jiravichitchai T Chira-adisai W Panuwannakorn M Kiertiburanakul S
author_facet	Jiravichitchai T Chira-adisai W Panuwannakorn M Kiertiburanakul S
author_sort	Jiravichitchai T
title	Claw Hand Deformity: A Rare Complication of Herpes Zoster
title_short	Claw Hand Deformity: A Rare Complication of Herpes Zoster
title_full	Claw Hand Deformity: A Rare Complication of Herpes Zoster
title_fullStr	Claw Hand Deformity: A Rare Complication of Herpes Zoster
title_full_unstemmed	Claw Hand Deformity: A Rare Complication of Herpes Zoster
title_sort	claw hand deformity: a rare complication of herpes zoster
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/a7dbe8eeb6284673ad1b2911abedfd4c
work_keys_str_mv	AT jiravichitchait clawhanddeformityararecomplicationofherpeszoster AT chiraadisaiw clawhanddeformityararecomplicationofherpeszoster AT panuwannakornm clawhanddeformityararecomplicationofherpeszoster AT kiertiburanakuls clawhanddeformityararecomplicationofherpeszoster
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Claw Hand Deformity: A Rare Complication of Herpes Zoster

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