VZV reactivation in the absence of zoster (zoster sine herpete) was diagnosed in 9 patients with either serologic assays or PCR. Thus VZV reactivation was demonstrated in 11 of 30 (37%) patients.

In a recent study, the severity and duration of pain was worse in patients with zoster sine herpete (ZSH) than in those with herpes zoster (HZ). And patients with ZSH used more opioids.

This condition is called Zoster Sine Herpete. Ramsay Hunt syndrome is caused by the varicella-zoster virus, the same virus that causes chickenpox and shingles.

In zoster sine herpete, human immune cells quash the virus before it reaches the skin, but not before it infects the nerve. Accordingly, sufferers fail to develop blisters and scabs but still ...

WASHINGTON — Herpes zoster vaccination is effective in patients with systemic lupus erythematosus and multiple sclerosis, without increasing the risk for severe lupus flares, according to data ...

Thus zoster sine herpete was confirmed in these 3 cases (cases 3-5). Of the remaining 7 VZV DNA-negative children, 2 children (cases 6 and 7) had 2-fold and 3.6-fold increases in anti-VZV IgG ...