ArticleInternal medicine (Tokyo, Japan)2025
A Diagnostic Approach to VZV Vasculopathy Using MR Vessel Wall Imaging.
Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Fulminant varicella-zoster virus meningoencephalitis without rash: Aggressive perivascular necrotizing and leptomeningeal MRI findings.Radiology case reports · 2026Article
- Snakebite-induced severe varicella: Exploring venom-related immune dysregulation in a case report.JAAD case reports · 2026Article
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Authors and funding
4 authors.
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Abstract
A 43-year-old woman with systemic lupus erythematosus on immunosuppressive therapy developed right hemiparesis and motor aphasia five months after the onset of herpes zoster. Brain magnetic resonance imaging revealed an infarction in the left anterior cerebral artery and severe middle cerebral artery (MCA) stenosis. Despite antiplatelet therapy, recurrent strokes occurred, and vessel wall imaging (VWI) showed circumferential thickening of the MCA, suggesting vasculitis. Cerebrospinal fluid revealed varicella-zoster virus (VZV) deoxyribonucleic acid (DNA) and an elevated anti-VZV IgG index, consistent with VZV vasculopathy. The administration of acyclovir and corticosteroids eliminated VZV DNA. This case highlights the risk of VZV vasculopathy in immunocompromised patients and the usefulness of VWI for its diagnosis.
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