{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:10:09Z","timestamp":1745759409487,"version":"3.40.4"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,2,15]]},"abstract":"<jats:p>A 61-year-old man who was an ex-heavy smoker presented to our ambulatory care centre with a 4-week history of dyspnoea on mild exertion. 2 weeks prior to his symptoms, he had developed right-sided cervical herpes zoster for which he was prescribed oral acyclovir by his general practitioner. On examination, a rash over the right C4\u20135 dermatomes was noted and dullness on percussion of the right mid and lower zones with markedly reduced air entry. His chest radiograph showed a raised right hemi-diaphragm with associated right middle and lower lobe collapse. Further investigation with CT and bronchoscopy did not identify a cause and showed no evidence of underlying malignancy or endobronchial obstruction. An ultrasound \u2018sniff test\u2019 was performed to confirm diaphragmatic paralysis. We present a rare case of cervical herpes-induced diaphragmatic paralysis, and summarise our approach and the current understanding of this interesting condition.<\/jats:p>","DOI":"10.1136\/bcr-2016-218440","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T15:50:47Z","timestamp":1488383447000},"page":"bcr2016218440","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["A rash and a rare cause of unilateral diaphragmatic paralysis"],"prefix":"10.1136","volume":"2017","author":[{"given":"Zakariye M","family":"Ashkir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Tsaknis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"key":"2025042705322778000_2017.mar01_1.bcr2016218440.1","first-page":"289","article-title":"Unilateral diaphragm paralysis: etiology, impact, and natural history","volume":"49","author":"Elefteriades","year":"2008","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"2025042705322778000_2017.mar01_1.bcr2016218440.2","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1212\/01.WNL.0000149909.64485.4F","article-title":"MRI of segmental zoster paresis","volume":"64","author":"Samuraki","year":"2005","journal-title":"Neurology"},{"key":"2025042705322778000_2017.mar01_1.bcr2016218440.3","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.51.6935"},{"key":"2025042705322778000_2017.mar01_1.bcr2016218440.4","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.jocn.2011.06.023","article-title":"An unusual cause of dyspnea in a patient with cervical herpes zoster","volume":"19","author":"Lin","year":"2012","journal-title":"J Clin Neurosci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:32:36Z","timestamp":1745757156000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,1]]},"references-count":4,"alternative-id":["10.1136\/bcr-2016-218440"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218440","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,3,1]]}}}