ALL ABOUT SHINGLES (HERPES ZOSTER) AND ITS TREATMENT

  • What is Shingles ?
  • Who can be effected from Shingles ?
  • What are the symptoms and complications of Shingles ?
  • Prevention and Vaccine
  • Treatment procedures

What is Shingles ?

Shingles ( also known as herpes zoster ) is a viral infection that can usually occur in adults and cause painful rashes .

People exposed to chickenpox in the past may be at a higher risk of getting shingles . The cause of reactivation of the virus is still unknown . Herpes zoster infection can occur in any part of the patients body .

Who can be effected from shingles ?

Anyone who has been effected by chickenpox is vulnerable to shingles . There are many factors that weaken your immunity against shingles and make a person more prone to get the infection . These include –

Age : occurs mostly in people above the age of 50 . People above 60 might experience more complicated symptoms .

Previous medical history and treatments : From diseases like diabetes to much severe infections like HIV/AIDS and cancer , any disease that hampers your immunity might increase your risk of shingles . Radiation / chemotherapy and other such long term treatments can also lower your bodies ability to fight with infections and may trigger shingles . Long term use of steroids , medicines used after organ transplants can also elevate your risk of getting shingles .

What are the symptoms and complications of Shingles ?

herpes zoster infection generally causes a painful rash that may appear as a stripe of blisters on the dermatomal distribution of the skin .

The patient might experience pain even when the rash is gone ( post herpetic neuralgia )

The pain and feeling during the infection may be described in easy language as a feeling of pricking ones skin with multiple needles and pins at multiple rash spots during the same time .

Woman leg skin background with rash from herpes zoster or shingles disease

Complications from shingles include

Post herpetic neuralgia – pain that occurs even after the rash and blisters of shingles have gone . This occurs due to damaged nerve fibres sending confused messages from the skin to brain .

Loss of vision : shingles in or around the eye may cause infections with extreme pain and also lead to loss of vision .

Neurological issues : it might lead to encephalitis , paralysis of face , or problems with ear nose and throat.

skin infections might also occur if shingles blisters are not properly treated .

Prevention and Vaccine

A shingles vaccine is the most sought of way to prevent shingles . However , it doesn’t guarantee to protect you from shingles completely , but this likely reduces the course complications and severity of the disease . Shingles vaccine may also lower the risk of postherpetic neuralgia .

SHINGRIX VACCINE :

Shingrix is indicated for prevention of shingles and postherpetic neuralgia in adults above 50 years of age . The primary vaccination schedule consists of 2 doses of 0.5 ml each , at a gap of 2 months .

ZOSTAVAX VACCINE :

Zostavax is indicated in adults above 50 years of age . It contains weakened varicella zoster virus . It works by helping immune system to protect you from getting shingles . It is administered as single dose of 0.65 ml subcutaneously in the deltoid region of the upper arm .

Treatment procedures

If you experience any symptoms of shingles , you should consult a good general physician or dermatologist as soon as possible and avoid public contact of affected area .

Treatment generally includes antivirals ( acyclovir , valacyclovir , famciclovir ) and NSAIDs ( aceclofenac, diclofenac , acetaminophen) which may be topical or oral and numbing creams such as lignocaine or prilocaine .

*Any sort of treatment shall strictly be done under medical supervision . Above information is just to impart knowledge and not a medical advice . *

sources : unsplash.com , HTTPS://mayoclinic.org , google.com , shingrix.com ,1mg.com

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