TY - CHAP
T1 - Anesthetic considerations for neuraxial anesthesia in pregnant patients with pityriasis rosea with skin lesions covering the lumbar spine
AU - Werntz, Megan
AU - Chun, Oarlene
AU - Togioka, Brandon Michael
N1 - Publisher Copyright:
© 2019 by International Anesthesia Research Society.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Pityriasis rosea (PR) is an acute exanthematous skin disease that is likely due to reactivation of human herpesviruses (HHVS) 6b and 7. In contrast to herpes simplex and zoster (alphaher-pesviruses), HHV-6b and -7 (betaherpesviruses) are not found predominantly in skin lesions. This difference in virion location may decrease the possibility of causing central nervous system infection through skin contamination, but the risk for hematogenous spread likely remains the same. This article uses the first-known epidural placement through active PR to illustrate risk-benefit considerations when deciding between neuraxial and general anesthesia for obstetric patients with PR.
AB - Pityriasis rosea (PR) is an acute exanthematous skin disease that is likely due to reactivation of human herpesviruses (HHVS) 6b and 7. In contrast to herpes simplex and zoster (alphaher-pesviruses), HHV-6b and -7 (betaherpesviruses) are not found predominantly in skin lesions. This difference in virion location may decrease the possibility of causing central nervous system infection through skin contamination, but the risk for hematogenous spread likely remains the same. This article uses the first-known epidural placement through active PR to illustrate risk-benefit considerations when deciding between neuraxial and general anesthesia for obstetric patients with PR.
UR - http://www.scopus.com/inward/record.url?scp=85021852529&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021852529&partnerID=8YFLogxK
U2 - 10.1213/XAA.0000000000000371
DO - 10.1213/XAA.0000000000000371
M3 - Chapter
C2 - 27513966
AN - SCOPUS:85021852529
SN - 9781975115326
BT - 100 Selected Case Reports from Anesthesia and Analgesia
PB - Wolters Kluwer Health
ER -