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- $Unique_ID{BRK00023}
- $Pretitle{}
- $Title{What is Shingles?}
- $Subject{shingles rash rashes pain Infections Infection Shingle nerve nerves
- blistering blister blisters herpes zoster viruses virus viral varicella-zoster
- nervous system reactivation stinging burning Burow Burow's solution Domeboro
- Zovirax acyclovir Vira-A vidarabine post-herpetic neuralgia}
- $Volume{A-20, F-20}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- What is Shingles?
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- QUESTION: What is shingles? Is there anything that can be done for it?
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- ANSWER: Shingles is a painful condition that primarily affects skin and
- nerves. The most visible symptom is a blistering rash. It is also called
- herpes zoster since it is caused by one of the herpes family of viruses,
- varicella-zoster. Varicella-zoster is also the virus that causes chicken pox.
- Shingles is, in reality, not a disease that is "caught." It is a reactivation
- of the virus that has been dormant in the nervous system since a childhood
- bout of chicken pox.
- The virus reactivation is apparently due to some physical stress to the
- affected area, such as surgery, trauma, or other infection. Before the rash
- appears, you may have a mild fever or feel tired or there may be stinging,
- burning, or pain in the affected area. The fever subsides when the first red
- patch breaks out and small to large blisters develop within a day or two that
- last for up to two weeks. In most cases, the blisters fill with pus within a
- few days, scab over, and heal by themselves. The rash can be painful or
- itchy, which can be relieved by using compresses wet with Burow's solution
- (Domeboro powder dissolved in water). Your physician may prescribe one or two
- antiviral drugs; Zovirax (acyclovir generically), which is taken orally or
- intravenously, or Vira-A (vidarabine), an ointment or intravenous injection.
- An uncomplicated case of shingles may not need these medications, however, and
- your physician may choose only to prescribe pain relievers.
- Uncomplicated shingles usually heals well without scarring, and unless
- the blisters are popped or punctured, is unlikely to become infected.
- Shingles is not contagious in the usual sense, but you should be careful to
- avoid adults who are ill or have an impaired immune system or children who
- have not had chicken pox, since these people are susceptible to
- varicella-zoster. People who are immune compromised are more likely to get
- shingles that last longer and extend over a much wider area of skin.
- Usually shingles occurs on the back or trunk, but it can occur on the
- face and around the eye. This is a more serious situation, since ophthalmic
- shingles can damage the eye or lead to a brain infection called herpes zoster
- encephalitis.
- Another complication is pain that lasts after the rash disappears. This
- is known as post-herpetic neuralgia and is more common in elderly shingles
- sufferers. Several medications can be used for this, but not everything works
- on every patient.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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