Can Shingles Be Harmful During Pregnancy
Journal of Obstetrics and Gynaecology
If a pregnant woman develops a varicella rash from five days before to two days after delivery, the newborn will be at risk for neonatal varicella.
Pregnant women who have been exposed to the virus may be given a varicella-zoster immune globulin injection to reduce the risk of complications to both mother and baby.
Shingles Vaccine And Eye Problems
Suffering an outbreak of shingles is often described as excruciating. Primarily affecting adults aged 50 or older, singles typically begin as a painful or tingling sensation localized to one side of the head or body. Eventually, a rash made of small, fluid-filled blisters appears. Until this century, a vaccine was not available for this debilitating condition. The first vaccine on the market is called Zostavax. And its alleged to cause serious side effects, including those that damage the eyes. So, many people want to know about the shingles vaccine lawsuit and its side effects.
Numerous lawsuits are pending because of the severity and number of persons experiencing vision and other health concerns after getting a Zostavax injection. Reich & Binstocks skilled Houston pharmaceutical injury attorneys discuss shingles, shots, vaccine side effects, and current litigation in the following blog. To schedule a free and confidential consultation with us, please call .
Shingles Linked To Stroke Heart Attack
Not only do shingles flare-ups hurt, research says they can increase your short-term risk of heart attack and stroke following the virus outbreak.
Shingles was found to raise the risk of stroke by 35% and the risk of heart attack by nearly 60%, according to a study of more than half a million people. The risk of stroke was highest in those under age 40.
Its been known for a while now that zoster causes stroke, said Dr. Gwen Wigand-Bolling, an internist at . The inflammation it creates causes heart attack and stroke, and shingles causes increased blood clotting in the arteries, she added.
The risks of both stroke and heart attack were highest in the first year after the onset of shingles and decreases with time, researchers said.
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Can Infection With Vzv During Pregnancy Harm The Baby
Some infections can be transmitted across the mothers bloodstream to the fetus or can be acquired by the baby during the birth process. Chickenpox during pregnancy poses some risk to the unborn child, depending upon the stage of pregnancy. During the first 30 weeks, maternal chickenpox may, in some cases, lead to congenital malformations . Most experts agree that shingles in a pregnant woman is even less likely to cause harm to the unborn child.
If a pregnant woman gets chickenpox between 21 to 5 days before giving birth, her newborn can have chickenpox at birth or develop it within a few days. But the time lapse between the start of the mothers illness and the birth of the baby generally allows the mothers immune system to react and produce antibodies to fight the virus. These antibodies can be transmitted to the unborn child and thus help fight the infection. Still, a small percent of the babies exposed to chickenpox in the 21 to 5 days before birth develop shingles in the first 5 years of life because the newborns immune system is not yet fully functional and capable of keeping the virus latent.
Is There A Vaccine For Shingles
There are two shingles vaccines currently available, Shingrix and Zostavax. Shingrix vaccine, a newer vaccine, is preferred over Zostavax for the prevention of shingles and its complications. Two doses of Shingrix given 2 to 6 months apart are recommended for healthy adults 50 years of age and older. Shingrix is also recommended for adults who have previously received Zostavax. A single dose of Zostavax may still be used to prevent shingles in certain cases for healthy adults 60 years and older.
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What Are The Symptoms And Signs Of Shingles
The first symptom of shingles is often burning or tingling pain, or itch, generally in a band-like distribution on one side of the body, i.e., around the waist, chest, stomach, or back. Shingles pain can be mild or intense. Some people have mostly itching some feel severe pain from the gentlest touch, such as the weight of bed linens or clothing. A few people may have general symptoms of a viral infection, like fatigue, fever, and headache.
After several days or up to two weeks after the first symptoms are felt, a rash of fluid-filled blisters appears. These are similar to chickenpox but occur in a cluster rather than scattered over the body. The number of vesicles is variable. Some rashes merge and produce an area that looks like a burn. Other people may have just a few small scattered lesions. The clusters most often appear in a band called a dermatome, which contains nerves that branch out from the virus-affected nerve root exiting the spine. The second most common location is on one side of the face around the eye and on the forehead. However, shingles can involve any part of the body, including internal organs.
Recent studies have shown that subtle cases of shingles with only a few blisters, or none, are more common than previously thought. These cases may remain unrecognized.
Where Can I Find More Information About Research On Shingles
In addition to the NINDS, several other NIH organizations support research relevant to understanding, treating, or preventing shingles and its complications, including the National Institute of Allergy and Infectious Diseases and the National Institute on Aging .
- NIH RePORTER is a searchable database of current and previously funded research supported by NIH and some other federal agencies. RePORTER also includes links to research results such as patents and publications citing support from these projects.
- PubMed allows users to search millions of journal article abstracts in biomedical research fields. The full text of many articles describing research funded by NIH and other sources is also freely available through PubMedCentral
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The Link Between Crohns Disease And Shingles
If you’ve never had chicken pox, as a child or as an adult, and you’re exposed to the virus let’s say you touch someone at the contagious, blister stage of shingles transmission could occur and you’d get chicken pox.
If you haven’t had chicken pox, you can’t get shingles. But someone who has never had chicken pox or been vaccinated for it can contract chicken pox through close contact with someone who has shingles.
Seek Treatment Right Away
Many people have the mistaken impression that, like poison ivy, shingles is a nuisance rash that fades on its own. But in fact a shingles rash should alert people, especially in middle or old age, to seek immediate medical help, says Dr. Oaklander.
Rapid treatment with one of three antiviral drugs, acyclovir , valacyclovir , or famciclovir , can shorten a shingles attack and reduce the risk of serious damage, such as:
- Long-term pain. Pain that lingers in the area of a healed shingles rash is called postherpetic neuralgia. This often-disabling pain can last several months to a year.
- Prolonged itching. Many people are left with an itchy area from their shingles, which can be as disabling as chronic pain. It is most common on the head or neck.
- Damage to vision and hearing. Pain and rash near an eye can cause permanent eye damage and requires an urgent ophthalmological exam. When the nerve to the ear is affected, it can permanently damage hearing or balance.
- Strokes and heart attacks. A PLOS Medicinestudy that tracked about 67,000 people ages 65 and older who were newly diagnosed with shingles found that stroke risk more than doubled in the first week after the shingles diagnosis. The same study reported an increased risk for heart attacks in the three months after shingles, but the additional risk dissipated after six months.
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Can Shingles Be Prevented
In May 2006, the Food and Drug Administration approved a VZV vaccine for use in people 60 and older who have had chickenpox. In March 2011, the FDA extended the approval to include adults ages 50-59. A new shingles vaccine called Shingrix was licensed by the FDA in 2017 for adults age 50 and older. Talk with your healthcare professional if you have questions about shingles vaccination.
The Shingles Prevention Studya collaboration between the Department of Veterans Affairs, the National Institute of Allergy and Infectious Diseases, and Merck & Co., Inc.involved more than 38,000 veterans aged 60 and older. The purpose was to find out how safe the vaccine is, and if it can prevent shingles. Half the study participants received the shingles vaccine, and half received a similar looking, inactive vaccine . Neither volunteers nor researchers knew if a particular subject had gotten active or placebo vaccine until after the end of the study . During more than 3 years of follow-up, the vaccine reduced shingles cases by 51 percent 642 cases of shingles developed in the placebo group compared with only 315 in the vaccinated group. And in people who received the active vaccine and still got shingles, the severity and discomfort were reduced by 61 percent. The vaccine also reduced the number of cases of long-lasting nerve pain by two-thirds compared with the placebo.
What Are The Signs And Symptoms Of Shingles
Shingles causes a painful, blistering rash on your skin. If you get shingles, you may notice the following:
Before the rash appears: For 1 to 2 days before the rash appears, you may have pain, burning, or tingling on an area of skin where the rash will develop. Some people say they felt an electrical sensation on their skin before getting the rash.
Rash appears: A painful, blistering rash appears. It usually appears on one side of your body, often on the torso however, it can appear anywhere on your skin. Some people get more blisters after the rash appears, so it can seem that the rash is spreading.
Rash starts to clear: As the rash clears, the blisters may crack open, bleed, and scab over. For most people, the rash will clear within 2 to 4 weeks.
Although the rash will clear on its own, treatment is important. Taking medication within 3 days of getting the shingles rash can:
Reduce your risk of developing other health problems, such as long-lasting nerve pain, pneumonia, or hearing loss
Shingles rash on the face
If you have a shingles rash on your face, immediately seeing a doctor for treatment could save your eyesight.
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Is A Vaccine Available To Prevent Shingles
Two vaccines are available in the United States to reduce your chance of developing shingles and postherpetic neuralgia. One vaccine, Zostavax®, has been available since 2006. The second vaccine, Shingrix®, has been available since 2017. Shingrix is recommended as the preferred vaccine by the Advisory Committee on Immunization Practices, a group of medical and public health experts.
Shingrix is given as a two-dose shot in your upper arm. You should receive the second dose two to six months after receiving the first. Shingrix has been shown to be more than 90% effective in preventing shingles and postherpetic neuralgia. Its effectiveness remains above 85% for at least four years after receiving the vaccine.
Shingles: An Unwelcome Encore
The Immunization Action Coalition publishes articles about people who have suffered or died from vaccine-preventable diseases and periodically devotes an IAC Express issue to such an article. This is the 89th in our series.Shingles has joined the ranks of vaccine-preventable diseases. In October 2006, the advisory panel to the Centers for Disease Control and Prevention voted unanimously to recommend the routine immunization of all adults aged 60 years and older with the only licensed herpes zoster vaccine . The shingles vaccine is safe and effective in providing protection against shingles and associated chronic pain.During their lifetime about 25% of people develop shingles, with the majority of cases occurring in those older than 50 years of age. In the United States, there are about one million cases of shingles per year. The complications from shingles include uncomfortable rash, eye and skin problems, scarring, nerve paralysis, pneumonia, encephalitis, and death. Excruciating pain from post-herpetic neuralgia can last for months or years. The following article on shingles was published in the May-June 2001 issue of the FDA Consumer magazine, subsequently revised in June 2005, and reprinted here courtesy of the FDA. It was written by Evelyn Zamula.Initial SymptomsThe OutbreakChickenpox ReduxControlling the OutbreakWhen the Pain PersistsTreating the PainPrevention, Almost PerfectShingles Prevention Study2/27/07 â¢ REPORT #89Disclaimer:
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S Of The Shingles Rash
If you have a rash of blisters on your skin or a rash that looks like any shown below, see your doctor immediately for a diagnosis. If you have shingles, its important to get treatment, preferably within 2 to 3 days.
If youve had the rash for longer than 2 to 3 days, its still important to see your doctor.
A typical shingles rash
Doctors often refer to this rash as the shingles band because it looks like a band that appears on one area of your body, as shown here.
A rash on one side of the body
A key that you have shingles is that the rash only develops on one side of your body.
Close-up of a shingles rash
The shingles rash often causes a cluster of tiny blisters. You may notice that the skin beneath the blisters is red and inflamed, as shown here.
The rash will also feel painful.
Blistering shingles rash on a man’s chest
Although the rash can begin in one area, you may notice that a few scattered blisters develop in other areas, as shown here.
Shingles rash on the palm of a man’s hand
While shingles tends to develop on your body or face, it can appear anywhere on your skin.
What Are The Complications Of Shingles
After the shingles rash has disappeared, you might continue to have nerve pain in that same area. Postherpetic neuralgia can last for months or years and become quite severe.
More than 10% of people who get shingles develop postherpetic neuralgia. Researchers dont know why some people get postherpetic neuralgia and others dont. It may be that nerves become more sensitive or that the virus may be invading and damaging the central nervous system.
Other complications include:
- Other types of nerve issues like numbness or itching.
- A bacterial infection of the shingles rash.
- Eye and ear inflammation if the rash is near these organs.
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What Other Problems Can Shingles Cause
Shingles can cause complications:
- Postherpetic neuralgia is most common complication of shingles. It causes severe pain in the areas where you had the shingles rash. It usually gets better in a few weeks or months. But some people can have pain from PHN for many years, and it can interfere with daily life.
- Vision loss can happen if shingles affects your eye. It may be temporary or permanent.
- Hearing or balance problems are possible if you have shingles within or near your ear. You may also have weakness of the muscles on that side of your face. These problems can be temporary or permanent.
Very rarely, shingles can also lead to pneumonia, brain inflammation , or death.
Foods To Avoid When Suffering From Shingles
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Shingles is no fun at all for adults its caused by the same virus that causes chicken pox, which can become dormant for years and reappear as this painful nerve condition. Those with shingles develop a very painful and itchy rash that can last for weeks or months.
There are some treatments available for shingles, and even vaccines to help prevent it, but one thing you can do to alleviate some of the symptoms is to change your diet. The best way to help relieve shingles and help speed up the recovery process is to avoid these 6 foods
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Do You Need To Stay Away From Children People Who Are Pregnant Have Cancer Or Anyone With A Weak Immune System After You Get The Zostavax Vaccine
According to the CDC, its safe to be around babies and young children, pregnant women or anyone with a weakened immune system after you get the Zostavax vaccine. Even though the Zostavax vaccine contains a weakened live varicella-zoster virus, the CDC says theres no documented case of a person getting chickenpox from someone who has received the Zostavax vaccine. And remember: You cant get shingles unless youve already had chickenpox.
What Research Is Being Done
The mission of the National Institute of Neurological Disorders and Stroke is to seek fundamental knowledge about the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. The NINDS is a component of the National Institutes of Health, the leading supporter of biomedical research in the world.
The NINDS funds and conducts research on a wide range of neurological disorders, such as shingles, to understand their causes and to develop and improve ways to diagnosis, treat, and prevent them.
Medical research on shingles has two main goals. The first is to develop drugs to fight the disease and to prevent or treat its complications. The second is to understand the disease well enough to prevent it, especially in people at high risk. To achieve these goals, scientists need to learn much more about VZV and its effects, including how it becomes latent in nerve cells , what induces it to become active again, and how such reactivation can lead to postherpetic neuralgia and other complications..
Research on postherpetic neuralgia includes studies in animal models of the condition, to better understand cellular changes that lead to persistent pain. These changes may represent future targets in the form of improved vaccines, new medicines, or even gene therapy.
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