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Pictures Of People With Shingles

How To Prevent Shingles: Get Vaccinated

Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health

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 Does Shingles Rash Appear

The typical red shingles rash and blisters follow pain, itching and tingling. The rash is usually limited to one side of the face and body.

Shingles on the face, scalp, mouth and ear

  • Rash and shingles 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 and bald patches.
  • Shingles can occur in the mouth, which is 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, once side of the forehead, extending to the tip of the nose.
  • Patients complain of burning or throbbing in the eye, with watering of eyes, swelling and blurred vision.
  • The pain may be present after the rash disappears due to nerve damage, but improves eventually. Without treatment, shingles of the eye and forehead can lead to corneal damage and vision loss.

Shingles on the waist and back

  • Rashes and blistering appear over one side of the waist and the back in a stripe pattern, extending up to the lower back.

Shingles on the buttocks

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

How Shingles Can Get Into The Eyes

After the symptoms of chickenpox have cleared up, the virus lies dormant in the body. More specifically, the virus remains in the nerves. At any time, the virus can reactivate and cause shingles to develop.

When the virus reactivates in a nerve called the trigeminal nerve, it can cause shingles of the eye. The trigeminal nerve carries signals between the brain and several areas of the face, including the eye.

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Fact: A Vaccine Can Help Prevent It

It doesnât guarantee you wonât get shingles, but a vaccine can lower your chances by more than 90%. And if you do get the condition, it might not affect you as much. The CDC recommends that healthy adults 50 or older, as well as those 19 years and older who are immunocompromised, get two doses of the vaccine Shingrix. The shots are taken 2 to 6 months apart. Exceptions are if you currently have shingles, are pregnant, or a test shows you have immunity. You likely have been exposed to chickenpox even if you didnât develop blisters, so you should get the vaccine even if you don’t remember being ill.

What Causes Shingles And Who Is At Risk

Experts sound alarm over shingles

If youve had chickenpox in the past you can develop shingles.

This is because the inactive chickenpox virus stays in your nerve cells near your spine. When shingles develops its because the virus has become active again. Usually, a person will only get shingles once in their lives, but it can sometime occur again if you have a weakened immune system.

Shingles is more likely to occur in people who:

  • are aged over 50
  • have weakened immune systems, for example:
  • have HIV or AIDS
  • have had an organ transplant
  • have recently had a bone marrow transplant
  • have a condition which requires treatment that affects the immune system, such as chemotherapy for cancer.

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What Are The Signs & Symptoms Of Shingles

Often the first shingles symptoms happen in the area where the rash will appear. A person may have tingling, itching, or pain in this area. When the rash shows up, the pain may be mild or severe.

The rash starts as groups of tiny pimples on one side of the body or the face. It’s often in the shape of a band or belt. The pimples change to pus-filled blisters that break open and scab over in about 710 days. The scabs usually heal and fall off about 24 weeks after the rash starts.

Some kids with shingles also may have a fever and a headache, and might feel tired and achy. Rarely, a child has the pain of shingles without the rash. More severe symptoms can happen, but usually in people over age 50.

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.

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Preventing The Virus Spreading

If you have the shingles rash, do not share towels or flannels, go swimming, or play contact sports. This will help prevent the virus being passed on to someone who has not had chickenpox.

You should also avoid work or school if your rash is weeping and cannot be covered.

Chickenpox can be particularly dangerous for certain groups of people. If you have shingles, avoid:

  • women who are pregnant and have not had chickenpox before as they could catch it from you, which may harm their unborn baby
  • people who have a weak immune system, such as someone with HIV or AIDS
  • babies less than one month old, unless it is your own baby, in which case your baby should have antibodies to protect them from the virus

Once your blisters have dried and scabbed over, you are no longer contagious and will not need to avoid anyone.

Hives Can Cause Itchy Red Bumps

Herpes Zoster (Shingles)

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.

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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.

Appearance On Black And Brown Skin

Many images of the shingles rash show how it appears on white skin. These images typically display a patch of skin thats very red and inflamed. This is called erythema and is due to the dilation of blood vessels in the skin.

While erythema can happen in all people, its effects can be harder to see on black and brown skin. Because of this, it can be hard to identify some types of skin conditions.

For example, a 2020 study found that medical students only correctly identified hives on skin of color 57.5 percent of the time, compared to 82.2 percent of the time for white skin.

The shingles rash generally has a very distinct appearance and co-occurring symptoms. In fact, medical students in the study above identified shingles correctly at a similar rate for skin or color and for white skin.

Nevertheless, its important to be able to recognize the signs of shingles on black and brown skin. This is because when identified and treated early, the duration and severity of shingles can be reduced. Well describe what to look out for below.

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What Problems Can Happen

Most cases of shingles heal on their own, with or without treatment, and won’t lead to any other problems. In rare cases, shingles can lead to complications, including:

  • Ongoing pain : Damaged nerve fibers in the skin send confused messages to the brain, leading to pain. Pain can go on for a long time after the shingles rash is gone. This is the most common shingles complication.
  • Vision problems: Shingles near or in an eye can lead to vision loss.
  • Skin infections: A shingles rash can become infected with bacteria, leading to impetigo or cellulitis.
  • Nervous system problems: Shingles on the face can involve different nerves that connect to the brain. This can lead to nerve-related problems such as facial paralysis, hearing problems, and problems with balance. In very rare cases, shingles can lead to encephalitis .

Who Should Not Get The Vaccine

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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.

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How Are Shingles And Herpes Treated

Neither condition can be cured, but treatments are available.

Shingles is treated with both antiviral prescription medications that can speed up your healing and with medications that can help with your pain. Your exact treatment plan will depend on:

  • how severe your case is
  • your overall health
  • the medications you already take

Antiviral options include:

Herpes is also treated with antiviral medication.

Antivirals can help you heal first and reduce your symptoms. Depending on your case and your overall health, you might take these medications during an outbreak or daily.

Options for herpes treatment include both acyclovir and valacyclovir.

Some other pain management options may include:

  • numbing patches, gels, or creams you can apply to your skin
  • codeine or other narcotic medications
  • steroid injections
  • anticonvulsants or antidepressants that can control pain

Talk with a doctor before using any of the treatments above. These treatments should not be used without guidance from a medical professional. A medical professional can help you avoid any unintended side effects, such as allergic reactions.

Should I Get A Vaccine

Doctors say most healthy people over 50 should get Shingrix, as well as anyone 19 or older who are immunocompromised. Itâs available at pharmacies as well as doctorsâ offices. Most people have been exposed to the chickenpox even if they didnât actually develop symptoms.

You should get the Shingrix vaccine unless:

  • You are allergic to any part of the vaccine
  • Had a blood test that proves you never had chicken pox
  • Have shingles now
  • Are breastfeeding or nursing.

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Chickenpox Is Caused By The Same Virus

The same virus, varicella zoster virus, causes both chickenpox and shingles.

Chickenpox typically causes an itchy rash that spreads over the entire body, as opposed to just one side of the body or face like shingles. More than 99 percent of Americans born on or before 1980 have had chickenpox, per the CDC. If you dont know if you had chickenpox, check with your family doctor, who can review your records.

Considering Stroke With Shingles

Shingles: Pathophysiology, Symptoms, 3 stages of Infection, Complications, Management, Animation.

A Food and Drug Administration-approved vaccine to prevent shingles, Shingrix, is available for adults age 50 and older and immunocompromised adults age 18 and older. However, those at highest risk of stroke are under the age of 40 and are ineligible for Shingrix. A large group of these individuals were likely not vaccinated for chickenpox as children, as the chickenpox vaccine was only approved in the U.S. in 1995 and uptake by adults was quite low at the time. While vaccination with the chickenpox vaccine significantly reduces the risk of shingles, it is still possible for a latent infection to reactivate and cause the disease.

While our study provides evidence for a potential way that shingles can cause an increased risk of stroke during and soon after infection, further research on how long this risk persists is needed. We are conducting follow-up studies to evaluate how long patients may have an increased tendency to form blood clots after their shingles infection has resolved. These longitudinal studies will also examine whether exosomes can be used as a biomarker to monitor stroke risk after shingles.

Meanwhile, we hope that our findings may provide a potential target for treatment development, and encourage people to get vaccinated for shingles.

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Does Covid Cause Hives In Adults

Yes. COVID-19 is associated with a rash in many people diagnosed with the virus. The hives form in different patterns, including patches, itchy bumps, and blisters that look like chicken pox. Most people who have the rash find it lasts about eight days. COVID-related hives often itch, and some may require medical treatment.

Timeline Of Shingles Symptoms

Shingles actually doesn’t occur without a prior chickenpox infection. VZV lies dormant in nerve roots after you recover where it can reactivate years later, returning as shingles. But though they share the same viral cause, the two conditions are distinct.

The first sign of shingles is usually a burning or stinging sensation in a band-like formation around the waist, chest, stomach, or back.

You may experience itching or become incredibly sensitive to even the softest touch. The weight of bed sheets on your skin may be uncomfortable. You may also experience fatigue, fever, and headache.

After a few days or even up to a couple of weeks, the telltale shingles rash will appear. This rash consists of fluid-filled blisters that worsen quickly. The blisters may look like chickenpox, but they are clustered together.

The shingles rash can vary in color, depending on your skin tone. On darker skin, the rash may be pink, grayish, dark brown, or even purple. On lighter skin, it will be red.

This is the stage at which VZV can be passed on to someone who has never had or been vaccinated against chickenpox.

Blisters typically scab over within a week to 10 days. Shingles typically takes three to five weeks to progress through all of its stages.

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What Are The Complications Of Shingles

Shingles gets better without any complications in many people. In others several complications can occur. These include:

  • ongoing nerve pain
  • shingles occurring in the eye area can result in temporary or permanent vision loss. Your doctor may refer you to an eye specialist for treatment
  • the shingles rash can become infected and you might need antibiotics.

Home Care For Shingles

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Colloidal oatmeal baths are an old standby for relieving the itch of chickenpox and can help with shingles, as well. To speed up the drying out of the blisters, try placing a cool, damp washcloth on the rash If your doctor gives you the green light, stay active while recovering from shingles. Gentle exercise or a favorite activity may help keep your mind off the discomfort.

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Eczema Can Cause Red Itchy Skin With Bumps

Like shingles, a skin allergy can also cause red, bumpy, itchy skin, according to the American College of Allergy, Asthma & Immunology . These reactions include eczema, hives, and contact dermatitis. Eczema can cause dry, red, itchy, irritated skin, per the ACAAI. Small, oozing, fluid-filled bumps may also appear, especially when the skin is infected. Eczema is most common on the face, inside the elbows and behind the knees, and on the hands and feet, per MedlinePlus. There is no cure for eczema, but treatments can help manage the condition.

Contact Dermatitis Can Cause A Rash And Blisters

Contact dermatitis can also cause a rash, blisters, itching, and burning, per the ACAAI. It occurs when the skin comes into contact with an irritant or an allergen, such as soaps, laundry detergents, shampoos, metals, medications, and more. Allergens like poison ivy, poison oak, or poison sumac can cause red, itchy rashes that may include blisters. Treatment can offer relief and aid healing.

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Can Shingles Be Passed On To Others

You cant catch shingles from another person with shingles, but the virus responsible for chickenpox can be passed on by someone with shingles to a person who has not had chickenpox or been vaccinated against it. This can happen when a person comes into contact with the fluid from the blisters. To prevent passing the virus on, keep the rash covered with clothing or a dressing and always clean your hands after you touch the rash or change any dressing.

Is Shingles Contagious

Shingles: Cause, Symptoms & Prevention | DOTV

Yes, but not in the way you may think. Your shingles rash will not trigger an outbreak of shingles in another person, but it can sometimes cause chickenpox in a child. People who’ve never had chickenpox, or the vaccine to prevent it, can pick up the virus by direct contact with the open sores of shingles. So keep a shingles rash covered and avoid contact with infants, as well as pregnant women who have never had chickenpox or the varicella vaccine and people who may have weak immune systems such as chemotherapy patients.

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