home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK00695}
- $Pretitle{}
- $Title{What Are the Causes and Cures of Shingle?}
- $Subject{shingles rash herpes viruses viral Infections Skin Zoster pain
- infection varicella-zoster virus posthepatic neuralgia tricyclic
- antidepressants corticosteroids Acyclovir Zovirax capsaicin analgesic cream
- Zostrix nerve nerves spinal cord}
- $Volume{A-20, L-2}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Are the Causes and Cures of Shingle?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: Could you please review the causes and cures of shingle? My
- husband has had a bad case which is in the seventh week. He still has welts
- and stabs of pain in his back. What can be done to help him?
-
- ------------------------------------------------------------------------------
-
- ANSWER: Shingles, also known as Herpes Zoster, can be a tormenting disease,
- with severe pain and a characteristic rash that seems to wind across one side
- of the body like a fiery red snake. In fact that is where the name comes
- from, as "herpes" is the Greek word for "serpent". The problem may start with
- symptoms of chills, fever, and the aches and malaise that comes with any viral
- infection. These symptoms may occur two or three days before the rash
- develops. Herpes is caused by an infection of the varicella-zoster virus in
- nerves which start in the spinal cord and run out across the body. The rash
- develops along the route of the infected nerve which produces the thin, snake
- like appearance. The clusters of blister-like rash will begin to crust and
- scab about 5 days after they appear. Although this disease may occur in
- people of any age, it is more common in individuals over the age of fifty, and
- it is in this older group that the pain often continues for months and years.
- Known as "posthepatic neuralgia," it is a difficult condition to treat.
- Analgesics, alone or in combination with tricyclic antidepressants (like
- amitriptyline) may be helpful in suppressing the pain. Frequently injections
- of corticosteroids (like prednisone) are used to reduce the inflammation and
- pain. Acyclovir (Zovirax) has been shown to be helpful in treating herpes
- zoster in the early and acute stages. When the lesions have disappeared but
- pain remains, a new product, capsaicin topical analgesic cream (Zostrix), can
- be applied directly to the skin in the tender areas, and can effectively
- control the pain. Capsaicin is a natural chemical derived from plants in the
- solanaceae or nightshade family which includes the tomato and the garden
- pepper. The good news is that one attack of herpes usually confers immunity
- so you won't have to worry about it ever returning.
-
- ----------------
-
- 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.
-