Understanding Shingles (Herpes Zoster)

A Comprehensive Guide for Patients

Dermatology

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Last updated: Mar 24, 2025

What is Shingles?

Shingles is a viral infection that causes a painful rash. It's caused by the varicella-zoster virus - the same virus that causes chickenpox. After you've had chickenpox, the virus lies dormant in your nervous system and can reactivate years later as shingles.

Common Symptoms

  • Painful, burning rash that typically appears as a stripe of blisters
  • Tingling or burning sensation before rash appears
  • Sensitivity to touch
  • Fever and chills
  • Headache
  • Fatigue

Risk Factors

  • Age (more common in people over 50)
  • Weakened immune system
  • History of chickenpox
  • Chronic stress
  • Certain medications

Complications

Post-herpetic Neuralgia (PHN)

The most common complication is ongoing nerve pain after the rash heals, which can last months or years.

Other Possible Complications

  • Vision problems if shingles affects the eye
  • Skin infections
  • Hearing or balance issues

Treatment Options

  1. Antiviral Medications

    • Acyclovir
    • Valacyclovir
    • Famciclovir
  2. Pain Management

    • Over-the-counter pain relievers
    • Topical treatments
    • Prescription pain medications if needed

Prevention

  • Shingrix vaccine recommended for adults 50 and older
  • Good stress management
  • Maintaining a healthy immune system

When to See a Doctor

Seek medical attention if you:

  • Suspect you have shingles
  • Experience severe pain
  • Have a rash near your eye
  • Have a weakened immune system

Recovery and Self-Care

  • Keep the rash clean and dry
  • Wear loose-fitting clothes
  • Apply cool compresses
  • Rest and reduce stress
  • Follow your prescribed treatment plan

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