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Skin Care
Shingles
Shingles, also called Herpes Zoster, is an outbreak of rash or blisters on the skin that is caused by the same virus that causes chickenpox - the varicella-zoster virus (VZV).

Shingles results from reactivation of the varicella-zoster virus that was acquired during a primary varicella infection (chickenpox) - which usually occurs in childhood after exposure to the airborne virus. Therefore, anyone who has had chickenpox is at risk for shingles later in their life, and, whereas varicella is generally a disease of childhood, shingles becomes more common with increasing age.

Diagnosis of shingles infection is usually made by inspection of the characteristic rash and associated symptoms. Occasionally, diagnostic tests may be necessary to confirm the diagnosis.

The development of complications from shingles depends on the severity of the infection and the location of the involved nerves. The most common chronic complication of shingles is a condition known as post herpetic neuralgia, defined as pain that persists more than 6 weeks after development of the rash.

Treatment of shingles has three major objectives:
  • Treatment of the acute viral infection
  • Treatment of the acute pain
  • Prevention of post herpetic neuralgia
In general, treatment options for shingles include antiviral medications, pain medications, and nerve blocks.

Recently, a new vaccine called Zostavax (Merck), has been approved in the United States for the prevention of shingles in individuals 60 years of age or older.

 

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