How Do Shingles Look On Your Body

Which Groups To Avoid If You Have Shingles

Pregnant women who have not had chickenpox should avoid people with shingles. See the separate leaflet called Chickenpox Contact in Pregnancy for more details. Also, if you have a poor immune system , you should avoid people with shingles. These general rules are to be on the safe side, as it is direct contact with the rash that usually passes on the virus.

Ringworm Causes An Itchy Red Circular Rash

Ringworm is a skin infection that, despite its name, is caused by a fungus, whereas the shingles rash is caused by a virus, according to the CDC. Ringworm can cause a red, itchy, circular rash on your skin. It may also cause scaly, cracked skin and hair loss. The rash can appear on any part of your body, and it spreads easily through skin-to-skin contact or contact with an item contaminated with the fungus, like dirty clothes or a shower floor. Some forms of ringworm can be treated with over-the-counter medication, while others must be treated with prescription antifungal medication.

How Does It Occur

If you have had chickenpox, you are at risk for later developing shingles. After you recover from chickenpox, the chickenpox virus stays in your body. It moves to the roots of your nerve cells and becomes inactive . Later, if the virus becomes active again, shingles is the name given to the symptoms it causes.

What exactly causes the virus to become active is not known. A weakened immune system seems to allow reactivation of the virus. This may occur with normal aging, immune-suppressing medicines, or another illness, or after major surgery. It can also happen as a complication of cancer or AIDS or treatment of these illnesses. Chronic use of steroid drugs may trigger shingles. The virus may also become active again after the skin is injured or sunburned. Emotional stress seems to be a common trigger as well.

Read Also: How Long Does Shingles Pain Last After Rash

Shingles Or Something Else

Small blisters that appear only on the lips or around the mouth may be cold sores, sometimes called fever blisters. They’re not shingles, but are instead caused by the herpes simplex virus. Itchy blisters that appear after hiking, gardening, or spending time outdoors could be a reaction to poison ivy, oak, or sumac. If you aren’t sure what’s causing your rash, see your healthcare provider.

How Is It Treated

It is best to start treatment as soon as possible after you notice the rash. See your healthcare provider to discuss treatment with antiviral medicine, such as acyclovir. This medicine is most effective if you start taking it within the first 3 days of the rash. Antiviral medicine may speed your recovery and lessen the chance that the pain will last for a long time.

Your provider may also recommend or prescribe:

• medicine for pain
• antibacterial salves or lotions to help prevent bacterial infection of the blisters
• corticosteroids

Recommended Reading: How Do I Figure Out How Many Shingles I Need

Hives Can Cause Itchy Red Bumps

Hives are red or skin-colored bumps that can cause mild to severe itching, according to the ACAAI. They typically appear suddenly and disappear quickly. Pressing the middle of a red bump will make it turn white, which is known as blanching. Hives can be caused by a number of triggers, including allergies, cold or hot weather, and infections.

What Are The Stages Of Shingles Symptoms

There are no formal, clinical stages of shingles, but symptoms generally fall into three stages. Beginning to end, shingles can last 24 weeks.

Contact your doctor right away if you have symptoms of shingles. Early treatment with antiviral medication may help lessen the severity, speed recovery time, and lower the potential for complications.

Don’t Miss: How Do You Know If Its Shingles

Once You’ve Had Shingles Can It Come Back

Reoccurrence is relatively uncommon. Only a small percentage of patients may have a second episode, more commonly in women. “Three or more shingles episodes in the same person is considered extremely rare,” says Dr. Mohring. “In this case, it would prompt us to investigate other potential diseases that may be going on. Those with higher risk factors, especially weakened immune systems or autoimmune disease, are the most at risk for reoccurrence.”

How Common Is Shingles

Shingles is an infection of a nerve and the area of skin supplied by the nerve. It is caused by a virus called the varicella-zoster virus. It is the same virus that causes chickenpox. Anyone who has had chickenpox in the past may develop shingles. Shingles is sometimes called herpes zoster.

About 1 in 4 people have shingles at some time in their lives. It can occur at any age but it is most common in older adults . After the age of 50, it becomes increasingly more common as you get older. It is uncommon to have shingles more than once but some people do have it more than once.

Read Also: Owens Corning Surenail Shingles Price

Urgent Advice: Get Advice From 111 As Soon As You Suspect Shingles

You might need medicine to help speed up your recovery and avoid longer-lasting problems.

This works best if taken within 3 days of your symptoms starting.

111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.

Go to 111.nhs.uk or .

Get an urgent GP appointment

A GP may be able to treat you.

Ask your GP surgery for an urgent appointment.

What Does A Shingles Rash Look Like At First

The typical shingles red rash or blisters occur after pain, itching, and tingling. They are usually limited to one side of the face and body.

• Shingles on the face, scalp, mouth, and ear

Shinglesrash and blisters appear on one side of the face extending to the scalp and ear.

If the rash involves the ear, it can lead to hearing loss, imbalance, and weakness of the facial muscles. Shingles rash on the scalp causes pain while combing or brushing and bald patches. Shingles can occur in the mouth and are usually very painful, causing pain while eating and change in taste.

• Shingles of the eye and forehead

Rash and blisters appear around the eye, over the eyelids and one side of the forehead, extending to the tip of the nose. Patients present with burning or throbbing in the eye, with watering of the eyes, swelling, and blurred vision.

Pain may be present after the rash disappears due to nerve damage but eventually improves. Without treatment, it can lead to corneal damage and vision loss.

• Shingles on the waist and back

Rash and blisters appear on one side of the waist and back in a stripe pattern, extending up to the lower back.

• Shingles on the buttocks

Shingles rash and blisters appear on the buttocks, usually on one side.

Recommended Reading: Can You Have A Fever With Shingles

How Long Is Shingles Contagious

Similar to chickenpox, shingles is a contagious illness. But, before we address how long you may be contagious, we need to talk about how shingles spreads which might actually surprise you.

“Shingles is indeed contagious, but it can only be spread to people who haven’t yet had chickenpox, or the chickenpox vaccine. In these cases, the shingles virus typically spreads via direct contact with the opened blisters of your rash. After being infected, a person doesn’t develop shingles, though he or she develops chickenpox,” explains Dr. Brown.

Since you can’t really know who is and who isn’t susceptible to chickenpox, it’s important to take safety measures if you have shingles.

“When you have shingles, you’re considered contagious until your open sores crust and scab over. This generally takes between 7 to 10 days,” says Dr. Brown. “Depending on where your rash develops on your body and where you work, you may be able to return to work before your shingles dry up.”

Before your rash dries up, Dr. Brown recommends the following to prevent spreading shingles to others:

• Make sure your rash is covered with gauze
• Limit interaction with other people if your shingles rash is on your face
• Consult with your doctor about returning to work if you work in a medical setting or nursing home, as well as if you interact with people frequently while at work

Who Is At Risk

If you’ve had chickenpox, you are more susceptible as you age. About 50% of people who live to age 85 will have had some shingles event in their lives. Shingles can develop for a variety of reasons, especially for those:

• Over the age of 50, with increasing risk with each decade
• With a weakened immune system, such as those with cancer, HIV, transplant recipients, or patients receiving chemotherapy
• With an autoimmune disease
• Who may have a weakened immune system due to trauma or illness

Recommended Reading: Can You Have Shingles Without Breaking Out

What Does Shingles Look Like 11 Shingles Pictures Of Rashes

Do you have an itchy red rash? Think you might have shingles?

Iâll show you shingles pictures to help you figure out if you have the shingles rash and what stage its in. Iâll also provide pictures of especially extreme cases and discuss what to do if you have one of these more dangerous rashes.

Can Shingles Cause Chronic Pain

In some people, the pain of shingles may linger for months or even years after the rash has healed. This pain, due to damaged nerves in and beneath the skin, is known as postherpetic neuralgia. Others feel a chronic itch in the area where the rash once was. In severe cases, the pain or itching may be bad enough to cause insomnia, weight loss, or depression.

Read Also: Does Cigna Cover Shingles Shot

Who Should Not Get The Vaccine

Do not get the shingles vaccine if:

• You have a severe allergic reaction, such as anaphylaxis, to any ingredient of a vaccine or to a previous dose of Shingrix
• You have shingles now.

• You are sick with an illness and a fever of 101°F or higher.

• You should also consider delaying the vaccine if you are pregnant or breastfeeding. Not enough is known about its safety for expectant and lactating women.
• You have had a negative test for varicella this would be uncommon for adults eligible for the vaccine, as most adults worldwide ages 50 and older have been exposed to the virus. You do not have to be tested before getting the vaccine.

Psoriasis Forms Red Patches On The Skin

Psoriasis is an autoimmune disease that is easy to confuse with the shingles rash. As with the shingles virus, psoriasis forms red patches on the skin, according to Johns Hopkins Medicine. One type of psoriasis pustular can lead to the development of blisters. Areas of skin affected by psoriasis often develop into silvery scales on the scalp, elbows, knees, and lower back. Treatment can help control the condition.

Also Check: Is A Person With Shingles Contagious

What Causes Internal Shingles

The varicella zoster virus causes shingles. Its the same virus that causes chickenpox. After a bout of chickenpox, the virus becomes dormant in the body and settles in certain nerves and tissue of the nervous system. Later in life, the virus can reactivate and present itself as shingles. Shingles typically appears on the skin along the nerve path where it had been previously dormant. If the reactivation of the virus becomes severe, it can affect not only the skin but other organs too. This is what is called systemic or internal shingles.

For Older Adults: Shingles Vaccine

A different vaccine, the herpes zoster vaccine, is available for people aged 50 and older who have had chickenpox and therefore carry VZV. Experts also recommend this vaccine for those who have not had chickenpox or shingles.

In the U.S., of people born before 1980 already have this virus in their system. The herpes zoster vaccine can help prevent shingles in people who already have the virus.

The options available are Zostavax and a newer vaccine called Shingrix.

After two doses of Shingrix, a person will have more than 90% protection against shingles, falling to just above 85% after 4 years, according to the CDC.

Recommended Reading: What Are The Symptoms Of Shingles

Serious Symptoms That Might Indicate Complications Of Shingles

In some cases, shingles can affect the nerves of the face, eyes, or ears and cause serious symptoms and complications, such as facial paralysis or impaired vision and hearing. Get prompt medical care if you, or someone you are with, have symptoms of shingles, particularly the following symptoms or conditions:

• painful, widespread rash, a symptom of disseminated shingles
• weakened immune system caused by a chronic condition or immune-suppressing medications
• rash near your eyes or involving the tip of the nose

Measles Rash Looks Like Flat Red Spots

Like the shingles rash and herpes simplex, measles is caused by a virus. Measles is highly contagious. Symptoms of measles typically begin with a high fever, cough, runny nose, and red, watery eyes, according to the CDC. Three to five days later, a rash that looks like flat red spots appears, normally starting on the face at the hairline and spreading down the body to the neck, trunk, arms, legs, and feet. Measles is a very serious disease that can lead to complications and death fortunately, it can be prevented with a measles vaccine.

Recommended Reading: How To Know If Its Shingles

How To Prevent Shingles: Get Vaccinated

Two vaccines may help prevent the shingles virus: the chickenpox vaccine and the shingles vaccine. The shingles vaccine is approved for adults ages 50 and older and for those 18 and older with weakened immune systems or at increased risk of herpes zoster because of a disease or treatment, according to the CDC.

Per the CDC, talk to your doctor about getting a shingles vaccination if you are 50 or older or if you have the following risk factors:

• You have cancer, especially leukemia or lymphoma.
• You are a bone marrow or solid organ transplant recipient.
• You take immunosuppressive medications, including steroids, chemotherapy, or transplant-related medications.

How Can You Prevent Spreading The Virus

You cant give shingles to someone else, but the varicella-zoster virus is very contagious. If you have shingles and you expose someone else who has not had chickenpox or the chickenpox vaccine, you can give them the virus. Theyll get chickenpox, not shingles, but this puts them at risk for shingles later on.

Youre contagious when your blisters are oozing, or after they break and before they crust over. Do the following to avoid spreading the virus to others:

• Keep your rash covered, especially when the blisters are active.
• Try not to touch, rub, or scratch your rash.
• Wash your hands thoroughly and often.

Avoid contact with people whove never had chickenpox or the chickenpox vaccine, especially:

Recommended Reading: How Many Shingle Shots Do You Get

How Is Shingles Diagnosed

Your healthcare provider will do a complete physical exam and ask about your medical history, specifically about whether you have ever had chickenpox.

Your healthcare provider will likely know right away that it is shingles based on the unique rash. The rash usually appears one area on one side of the body or face. It appears as red spots, small fluid- or pus-filled vesicles, or scabs.

The healthcare provider may also take skin scrapings for testing.

Who’s At Risk For Shingles

Anyone who has ever had chickenpox can get shingles, but the risk increases with age. People older than age 60 are up to 10 times more likely to get shingles than younger people. Other factors that increase your risk include:

• Some cancer medicines
• A weak immune system from illnesses such as cancer or HIV

A quarter of adults will develop shingles at some point, and most are otherwise healthy.

You May Like: Does Champva Cover Shingles Vaccine

Severe Shingles Rash That Require Special Attention

Shingles on the FACE , shingles in the EYE, or shingles in the EAR do require IMMEDIATE medical attention.

According to doctors at Mayo Clinic, if the shingles rash reaches your eye, it can cause eye infections that could lead to temporary or even permanent loss of vision. If you have a shingles rash that is on your eye, eyelid or forehead , you should go see a doctor as soon as possible.

If the shingles rash is in or on your ear, you could develop hearing or balance problems, and in rare instances, the virus might attack your brain or spinal cord. For these reasons, if you have developed a shingles rash in or around your ear , you should seek immediate medical attention.

For Children: Chickenpox Vaccine

recommend routine immunization with the varicella vaccine during childhood.

With two doses of the vaccine, there is at least a 90% chance of preventing chickenpox. Preventing chickenpox will also prevent shingles.

Children should receive the first dose at . The second dose is at 46 years.

Tests have shown the vaccine to be safe, though some children may experience:

• pain at the injection site
• a fever and a mild rash
• temporary joint pain and stiffness

Since vaccination started in children, the number of shingles cases has

Read Also: How Many Doses Of Shingles Vaccine Are Needed

How Is Shingles Diagnosed And Treated

If you think you might have shingles, talk to your doctor as soon as possible. Its important to see your doctor no later than three days after the rash starts. The doctor will confirm whether you have shingles and can make a treatment plan. Most cases can be diagnosed from a visual examination. If you have a condition that weakens the immune system, your doctor may order a shingles test. Although there is no cure for shingles, early treatment with antiviral medications can help the blisters clear up faster and limit severe pain. Shingles can often be treated at home.