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VARICELLA-ZOSTER
(“Shingles”)
This patient information and photograph on "Shingles" is
provided by John L. Meisenheimer, M.D. a board certified Dermatologist and skin
care specialist based in Orlando, Florida. This information is not
intended as a substitute for the medical advice or treatment of a dermatologist or other
physician.
What
is it? Varicella-Zoster
also known as Herpes-Zoster is a common eruption of the skin. In lay terms this
disorder is known as “Shingles”. It can occur at any age, but it is more
frequently seen in elderly adults. Typically “Shingles” appear as multiple tiny
water blisters on red inflamed skin, and it is often preceded by pain arid
burning. The eruption can occur anywhere on the skin. Many will have lingering
pain persisting after the rash has healed.
What
causes it? “Shingles”
is caused by a viral infection of the skin. It is the same virus that causes
chicken pox in young children. When you had your episode of chicken pox as a
child the virus burrowed down the skin nerves and began living quietly in the
nerve "roots". For an unknown reason, this virus reactivated, it climbed back up
the nerves (causing the pain and burning sensation) and erupted on the skin.
Is it
dangerous? For the
average healthy person “Shingles” is a harmless disorder. It is not dangerous
unless you have a suppressed immune system. In a few cases “Shingles” may
involve the face or eye and this can be more serious.
Can it be
cured? “Shingles”
typically resolves without treatment, but treatment can speed a cure and, lessen
discomfort. Early treatment may be important in preventing post-zoster pain.
Will it
spread? It usually
stays localized to one area of the body although this can be a large area.
“Shingles” will also appear on only one side of the body.
Can
I get it again?
It is very rare for a person to have
more than one episode of “Shingles”, but it can happen.
Is
it contagious? People
with “Shingles” can give chicken pox to anyone that has riot had chicken, pox,
but you cannot give “Shingles” to others. You should avoid contact with newborn
babies and those with suppressed immune systems until your “Shingles” has
healed.
What
about the pain? Pain
lasting long after the “Shingles” has healed is called post-herpetic neuralgia.
It is thought that this pain comes from nerves damaged by the virus. In many
cases the pain is very difficult to treat. I f one treatment plan does
not work we will keep trying until we find something that will give you some
relief. In rare cases the pain may last for years, but in most the pain fades
after a few months.
© John L. Meisenheimer, M.D.
2004 WWW.OrlandoSkinDoc.Com
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