Shingles

The shingles rash is a painful dermatologic condition that affects many senior citizens. If treated early, one may be able to avoid long term side effects of chronic pain. If you or a loved one may have shingles, call today or make an appointment online.

What are shingles?

Shingles is a painful rash caused by the varicella-zoster virus. It is also known as herpes zoster or just zoster. It is caused by the same virus that is responsible for chickenpox in children. The virus hides in one’s nervous system and presents again in senior citizens as the immune system weakens with age. This reactivation of the virus as the cause of shingles is the reason why so much nerve pain is associated with this rash.

What do shingles look like?

Group vesicles on a red rash along the distribution of a nerve are often shingles. Early signs include itchy papules on one side of the body starting in the back and moving to the front of the body. After several days these bumps become larger and developed into a single rash along the path of the nerve. Because it affects a nerve, it usually does not cross the midline of the body. When on the face, it can affect the eye and become a medical emergency. Pain and itching can proceed long after the rash resolved. This painful manifestation is called postherpetic neuralgia. Early treatment with antiviral medications can help prevent these painful long-term side effects.

Who gets shingles?

Anyone who has the virus that causes chickenpox (varicella-zoster virus) or even the chickenpox vaccine can get this condition. However, it typically occurs in those over 50. People age 70 or above are 15 times more likely to get it than younger adults. Approximately 1 million people in the United States each year developed it. Even those who have had the vaccine can develop shingles.

Is there a treatment for shingles?

Early treatment is critical in curing the infection. Oral antiviral medication such as acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir) can help treat it if given within 72 hours after the first lesions have appeared. The main benefit of early treatment is reducing the time one has the rash and decreasing the chance of getting the painful side effect, postherpetic neuralgia. If you have this infection on the face, it is important to see an eye specialist evaluate if the virus is affecting your eye and vision.

There is a vaccine that decreases the likelihood and severity of the outbreak. This vaccine is recommended for anyone over the age of 60 and known commercially as the Zostavax vaccine. Of those who have had the vaccine, approximately half will develop the condition. Furthermore, those who developed the rash, two thirds fewer will be impacted with the chronic pain associated with zoster.

When should I seek care?

Early treatment is critical when affected with shingles to prevent the chronic, painful manifestation of the disease. If you think you have a rash that is shingles, please don’t wait.

Call and make an appointment today at Golden Coast dermatology, 

skin cancer, and vein center to get relief and prevent chronic pain.

Dermatology Mission Viejo

Dr. William James Tidwell

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