Which
patients are at risk for the development of PHN?
Overall, the incidence of PHN is 5–10% in
patients who develop an acute herpes zoster infection. The older the patient is
when they develop acute herpes zoster, the greater the chance that they develop
PHN. There is a greater than a 70% chance of developing PHN if the acute herpes
infec-tion begins at age 70 years. In addition, increasing age at the onset of
infection is also correlated with a longer duration of the PHN. It has been
proposed that patients who have a longer, more painful episode of acute herpes
zoster have an increased chance of developing PHN, and thus aggressive
treatment, including pain management, of the acute herpes infection is
recommended .
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