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Persons using assistive technology might not be able to fully access information in this file. The triggers for reactivation of VZV have not been identified and probably involve multiple factors.
Zoster rash is typically unilateral and does not cross the mid-line, erupting in one or two adjacent dermatomes.
The frequency of zoster occurrence in different dermatomes has been evaluated in certain studies. Regardless of definition, the pain of PHN can last for weeks or months and occasionally persists for many years. The prognosis for these conditions is good, although encephalomyelitis can be life threatening. The risk for neurologic zoster complications is generally increased in immunocompromised persons. VZV can be transmitted from zoster lesions to cause primary varicella in susceptible persons.

Finally, one study indicated that dietary micronutrient intake was protective against zoster. Despite these limitations, certain analyses of zoster incidence in the United States have been conducted.
Zoster vaccination is not recommended for persons of any age who have received varicella vaccine.
Persons with clinical or laboratory evidence of other unspecified cellular immunodeficiency. Persons receiving recombinant human immune mediators and immune modulators, especially the antitumor necrosis factor agents adalimumab, infliximab, and etanercept.
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Kayap atau juga dikenali herpes zoster atau sekadar zoster merupakan penyakit virus yang disebabkan oleh virus varicella zoster VZV . This report provides recommendations for use of zoster vaccine for prevention of zoster and its sequelae.

Zoster also can result in autonomic dysfunction, causing urinary retention and colon pseudo-obstruction. A prospective cohort study indicated a nonsignificant association (p = 0.078) between zoster risk and negative life events. In addition, no evidence existed of transmission of vaccine virus from vaccine recipients to contacts. Approximately 1%--4% of zoster episodes result in hospitalization, with a mean duration of 4.8 days.
Many of these cases cause debilitating pain, and when PHN develops, the pain can last for months or even years.

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