Herpes zoster causes a rash in the skin area associated with the nerve or nerves where the virus travels along the nerve into the skin and causes a rash and often pain in the area. Some also get a pain condition afterwards, so-called postherpetic neuralgia. Herpes zoster is most common in people over 50-60 and immunocompromised, but can occur at any age.
The chickenpox virus spreads along the nerve to the skin where a rash develops. The rash is limited to the right or left side in the area where the nerve ends. The most common place on the body is the chest.
Blistered rashes can appear at the same time as discomfort such as itching, tingling and burning in the area or a few days later. Eventually, there is often pain in the area and the rash becomes more crusty. Both the degree of pain and its duration vary widely. Some get severe pain and some also long-lasting pain, which is then called postherpetic neuralgia.
Herpes zoster is not very contagious, but virus from the blisters can infect other people with chickenpox. The rash should therefore be covered. Caution should be exercised when in contact with pregnant women and newborns. Pregnant women who are exposed to chickenpox infection and do not know whether they have had chickenpox should be tested for antibodies against the chickenpox virus.
For mild pain, paracetamol or ibuprofen can be used. Cooling the area with a cold bath or ice pack can provide relief. Tablet treatment with antiviral medication from a doctor started within 72 hours and preferably as early as possible, can provide faster recovery and a milder course as well as reduce the risk of long-term pain called postherpetic neuralgia.
In the case of herpes zoster on the face and especially near the eye, a doctor must always be contacted on the same day.
The vaccine is applicable for people over 50 years of age. Vaccine reduces approximately half of cases of shingles and reduces the risk of postherpetic neuralgia as well as the duration of this pain condition.
Our dermatologists help people of all ages, from newborns to the elderly, with everything from simple skin changes to serious conditions.
Our dermatologists help people of all ages, from newborns to the elderly, with everything from simple skin changes to serious conditions.
