Little Justin is now unilaterally paralyzed (right), a far cry from what he looked like last September (left). (AFP file photo, reprinted from Justin IG, synthesized by this newspaper)
[Health Channel/Comprehensive Report]Singer Justin Bieber suffered partial facial nerve paralysis due to herpes zoster virus complication Ramsay Hunt syndrome, and the right half of his face was paralyzed. The doctor reminded that the disease is mainly caused by the varicella-zoster virus. In addition to maintaining stable immunity, adults over 50 years old can also consider taking the shingles vaccine at their own expense.
Chen Yuxing, the chief physician of the Department of Dermatology of Shuanghe Hospital of the Ministry of Health and Welfare, posted on Facebook “Chen Yuxing Dermatologist“Lancet-Hunter syndrome is a rare neurological disorder characterized by unilateral ear pain, blisters in the ear canal/ear shell, and unilateral facial nerve palsy.” The disease is mainly caused by the varicella-zoster virus, and according to studies, 1 in 20,000 people who have had chickenpox will get this rare disease.
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Chen Yuxuan said that herpes zoster is also known as skin snake, and the virus that causes herpes zoster is the same virus that causes chickenpox, called chickenpox-zoster virus. The first infection with chickenpox, the virus will not disappear after recovery, it will be latent in the ganglia, when the body due to age, stress and other factors weaken the immune system, the virus will activate, causing shingles.
Chen Yuxuan pointed out that if herpes zoster occurs, it will be distributed along the dermatome innervated by the nerve, so you will see band-shaped clustered red papules and blisters on the body, accompanied by pain and burning sensation; if it occurs in the skull, the virus Invasion of the facial nerve can cause a rare complication of herpes zoster, Rensche Hunter syndrome, sometimes tinnitus, dizziness, easy tearing, altered taste, dry eyes, runny nose, ear pain, hearing damage, etc.
Poor immune system is more likely to suffer from Lunsche-Hunter Syndrome
Chen Yuxuan mentioned that less than 1% of herpes zoster patients will have Lunsche Hunter syndrome, which is quite rare. People over 60 years old are prevalent, so it rarely occurs in children, and the proportion of males and females is roughly equal. In addition, immunocompromised patients are more likely to suffer from this disease. Due to facial nerve palsy, unilateral drooping eyelids, inability to fully close/blink, disappearance of forehead lines/nasolabial folds, drooping mouth corners/unable to smile, etc., can be seen on the face.
Rensche Hunter Syndrome “within 3 days of onset is the golden treatment period”, there is a 70% chance of complete recovery, and 50% after 3 days. If people have similar symptoms, they should seek medical treatment at a dermatologist as soon as possible, and doctors will use antiviral Drugs stop the virus from continuing to destroy, and steroids are used to slow down inflammatory damage to nerves, allowing nerve cells to repair themselves. However, nerve repair is usually slow and depends on the degree of nerve damage, and may not even fully recover. If drug treatment is not detected early, it may cause irreversible damage to nerves. In addition, if the virus affects vision or hearing loss, it is also necessary to seek medical attention from an ophthalmologist or an otolaryngologist.
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