Friday, November 26, 2010

A2.14


Q.  What is Hutchinson Sign?  What does it represent?

A. Hutchinson Sign refers to the unilateral presence of herpes zoster lesions on the tip of the nose and represents extension of the virus along the nasociliary branch of the ophthalmic division of the trigeminal nerve.  Here is an excellent review of herpes zoster opthalmicus.


Abstract  (Am J of EM, 2008;26:612)
The epidemiology, pathophysiology, and clinical presentation of herpes zoster ophthalmicus in the emergency department is discussed with an emphasis on the identification of the numerous potential ocular complications. Emergency physicians need to be able to recognize the clinical features of herpes zoster ophthalmicus and initiate appropriate therapy and referral.

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