Analgesic and Curative Effects of 35kDa Hyaluronan Fragment on Zoster-Associated Pain: A Case Report of Two Patients.

Pain medicine case reports Pub Date : 2025-02-01
Fenghe Xu, Dylan Treger, Xiaoxiao Jia, Mizhou Hui, Zhaohui Ma
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Abstract

Background: Herpes zoster-associated pain (ZAP) is a challenging neuropathic condition. Clinical reports suggest that a 35kDa hyaluronan fragment (HA35) may effectively relieve this pain with a single local injection. However, evidence of a complete cure is limited.

Case report: Two patients were treated-one with acute shingles pain diagnosed 10 days prior, and one with postherpetic neuralgia (PHN) diagnosed a year ago. Pain scores before treatment were 7 for Patient 1, and 4 (average) and 8 (most severe) for Patient 2. Clinicians administered varying doses of HA35 based on pain level and disease duration. Both patients reported significantly reduced Visual Analog Scale pain scores and notable improvements in mental state, appetite, and sleep quality.

Conclusions: HA35 not only safely and effectively alleviates and cures ZAP, including acute pain and PHN, without causing side effects, but also improves related issues, such as appetite, sleep, and daily interactions affected by pain.

35kDa透明质酸片段对带状疱疹相关疼痛的镇痛和疗效:附2例报告。
背景:带状疱疹相关疼痛(ZAP)是一种具有挑战性的神经性疾病。临床报告显示,单次局部注射35kDa透明质酸片段(HA35)可有效缓解这种疼痛。然而,完全治愈的证据是有限的。病例报告:2例患者接受治疗,1例为10天前诊断的急性带状疱疹疼痛,1例为一年前诊断的带状疱疹后神经痛(PHN)。患者1治疗前疼痛评分为7分,患者2治疗前疼痛评分为4分(平均)和8分(最严重)。临床医生根据疼痛程度和疾病持续时间给予不同剂量的HA35。两名患者均报告视觉模拟量表疼痛评分显著降低,精神状态、食欲和睡眠质量显著改善。结论:HA35不仅安全有效地缓解和治愈了包括急性疼痛和PHN在内的ZAP,且无副作用,而且改善了受疼痛影响的食欲、睡眠、日常互动等相关问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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