PMC9797838_01
Typical unilateral aggregated vesicular rash at the beginning of the disease (2021.4.13), which originated from the patient's self-photography (mirror image).
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F1
In the past 20 days, he experienced blister rash (Figure 1), hearing and taste loss, and slight facial paralysis (Table 1). The rash in our patient was characterized by unilateral aggregated vesicles distributed along the nerves (Figures 1, 2), and the corresponding nerves had different degrees of dysfunction, so we made a diagnosis of HZ.
The (A-D) pictures show the rash scar gradually becomes shallow; (A-1-D-1) and (A-2-D-2) pictures show that the right mandibular teeth gradually fall off and the alveolar bone gradually necrosis.
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F2
Panoramic radiography showed that the lower right central incisor, lateral incisor, canine, and first premolar had exfoliated (Figure 2A-2). The rash in our patient was characterized by unilateral aggregated vesicles distributed along the nerves (Figures 1, 2), and the corresponding nerves had different degrees of dysfunction, so we made a diagnosis of HZ. The right lower teeth completely fell out (Figure 2). The right mandible gradually became necrotic, and mandibular debridement was performed regularly in the Department of Stomatology in our hospital until it almost disappeared after 3 months (Figure 2).
Cranial neck enhanced CT(2021-4-30) showed the right side of the lower alveolar bone is partially absorbed, and there is no corresponding tooth. No tumor or other suspicious lesions.
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F3
Cranial neck enhanced CT showing osteonecrosis in the right anterior mandible (Figure 3).