Neuralgia And the Diseases That Resemble It

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heat, pricking, and irritation, rather than of acute pain ; but from puberty onward there is an increasing tendency, espe- cially in those otherwise predisposed to neuralgia, for zoster to be preceded, accompanied, or followed by neuralgia of the in- tercostal nerves corresponding to the distribution of the erup- tion. Most commonly, the eruptive period is, in my experi- ence, nearly or quite free from neuralgia, but it often recurs, or breaks out for the first time, when the vesicles are dryin
...g up, but more especially if, as is sometimes the case, especially in elderly people, the scabs fall off and leave superficial ulcers.
Neuralgia may last, after herpes zoster, for any time from a few days to many weeks, and I have known it so agonizingly severe and so persistent as actually to kUl an aged woman from sheer exhaustion. In spite of sundry objections that have been raised to the theory of the nervous origin, of zoster, it appears to me that the evidence in favor of it is overwhelming, more especially now that it is proved that the disease, with all the same characteristics presented by it when seen on the chest or abdomen, miay occur on the face (following the branches of the trigeminus), or on the forearm (following the course of nerves from the brachial plexus).


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