We appreciate the interesting letter from Dr Searle. As he correctly pointed out,
Bouhassira et al mentioned the Douleur Neuropathique 4 (DN4) questionnaire in relation
to risk factors for the development of postherpetic neuralgia.
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References
- Patient perspective on herpes zoster and its complications: An observational prospective study in patients aged over 50 years in general practice.Pain. 2012; 153: 342-349
- Use of S-LANSS, a tool for screening neuropathic pain, for predicting postherpetic neuralgia in patients after acute herpes zoster events: A single-center, 12-month, prospective cohort study.J Pain. 2013; 15: 149-156
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The author confirms no funding sources were provided, and no conflicts of interest exist.
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© 2014 American Pain Society. Published by Elsevier Inc. All rights reserved.
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- The Predictive Qualities of Neuropathic Screening ToolsThe Journal of PainVol. 15Issue 7
- PreviewI read with interest the article by Cho and colleagues reporting the predictive qualities of the S-LANSS (Self-completed Leeds Assessment of Neuropathic Symptoms and Signs) neuropathic pain screening tool when used in patients with acute herpes zoster.2 The authors report that no prior study has used screening tools in acute herpes zoster patients with the aim of predicting the development of postherpetic neuralgia. However, a DN4 (Douleur Neuropathique 4) screening tool diagnosis of neuropathic pain made during the first 7 days of herpes zoster infection has also been shown to be an independent predictor for the development of postherpetic neuralgia.
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