Complications Of Shingles On The Face
Shingles can cause different complications, depending on where they are. When they spread to or around the eye, they can affect the cornea and nerve cells that respond to light. This can lead to complications that include redness, swelling, puffiness, vision problems and infections.
If the condition develops near or inside the ear, it can lead to imbalance issues, hearing problems, and weakened facial muscles. Around the mouth, shingles can make it difficult to eat and even alter your sense of taste.
What Is The Prognosis Of Shingles
Generally speaking, shingles typically resolves within two to four weeks in most individuals. The prognosis is excellent for younger and healthy individuals who develop shingles, with very few experiencing any complications. However, in older individuals and in those with compromised immune systems, the prognosis is more guarded, as complications and more severe outbreaks of shingles occur more commonly in these groups.
Approximately 1%-4% of people who develop shingles require hospitalization for complications, and about 30% of those hospitalized have impaired immune systems. In the U.S., it is estimated that there are approximately 96 deaths per year directly related to the varicella-zoster virus, the vast majority of which occur in the elderly and in those who are immunocompromised.
Zoster Sine Herpete : Shingles Without The Rash
It is possible for a person to develop shingles without being affected by the rash, although this is rare. When shingles occurs without the rash being present, this is called zoster sine herpete .
When shingles occurs without a rash, the first symptoms of the condition may involve:
- A feeling of numbness in a certain area
- An itchy, burning sensation
- Generalized aches
- Hypersensitivity to touch
When shingles is present, even without the rash, sensations will be concentrated in a specific area of the body â commonly the face, neck, one side of the torso or the eyes. However, in the absence of the shingles rash, zoster sine herpete may still rarely lead toneurological and visceral diseases, such as inflammation of the brain , Varizella pneumonia, paralysis of the facial nerves and problems related to keeping oneâs balance or problems with hearing.
Because shingles shares characteristics with many other conditions, including herpes simplex, impetigo, dermatitis herpetiformis and contact dermatitis, it can easily be confused with these conditions. In cases where a rash is not present, a laboratory test will usually be necessaryto establish the presence of the varicella zoster virus in the body.
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Signs And Symptoms Of Shingles
Shingles may cause mild to severe pain, and the viral rash most commonly appears on the trunk, notes the CDC. Unlike chickenpox, the shingles rash usually occurs on one side of the body or face.
The first symptom of shingles is usually pain, itching, or tingling in the area where the shingles rash will later appear. This may happen several days before the rash erupts, leading to fluid-filled blisters like those of chicken pox. The blisters typically scab over in 7 to 10 days and clear up within two to four weeks, according to the CDC.
Other signs and symptoms of shingles may include:
If Ive Been Vaccinated For Chickenpox Can I Still Develop Shingles Later In Life
Unfortunately, yes, despite being vaccinated for chickenpox, you can still get shingles. No vaccine is 100% protective and the effects of vaccines lessen with time. However, people who get the chickenpox vaccine are significantly less likely to develop shingles later in life compared with people who never received the chickenpox vaccine. One recent 12-year study found that the number of shingles cases was 72% lower in children who had received the chickenpox vaccine compared with those who did not.
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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 101Â°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.
Do You Always Get The Typical Rash If You Have Shingles
Occasionally, some people dont get a rash. If you have any of the other symptoms of shingles , see your healthcare provider sooner rather than later. There are effective treatments you can take early for shingles. Even if you dont have shingles, seeing your healthcare provider will help you get your condition diagnosed and treated.
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Hearing Loss And Facial Weakness
Complications of herpes zoster oticus and Ramsay Hunt syndrome might include hearing loss and facial weakness. For most people, these are temporary symptoms, but it is possible for the damage to become permanent, especially if shingles is left untreated.
Ramsay Hunt syndrome accounts for up to 12% of facial paralysis. In some cases, it has a worse outcome than Bells palsya condition that causes temporary weakness in the muscles of the face.
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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Can Shingles On The Scalp Lead To Further Complications
In about 90% of cases, scalp shingles clear up entirely in a few weeks.
However, in rare cases, shingles can cause further complications:
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How Long Does A Shingles Outbreak Last
It can take three to five weeks from the time you begin to feel symptoms until the rash totally disappears.
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.
What Should You Expect If You Get Shingles
Shingles can be a very painful condition. If you think you have the symptoms of shingles, see your healthcare provider right away. Starting antiviral medications early can ease your discomfort and end symptoms earlier.
A better approach to shingles is to take action and do what you can to lessen your risk of getting it. If you’ve never had shingles in the past, talk to your healthcare provider about getting the shingles vaccine. If youve never had chickenpox, talk with your healthcare provider about getting the chickenpox vaccine.
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Are Shingles Contagious
Shingles is not a contagious disease, although it can spread the condition when blisters ooze. The varicella-zoster virus, however, is highly contagious and can be spread to people who never have had chickenpox or the vaccine. But it is more likely that they will come down with a case of chickenpox and not shingles.
Shingles Of The Mouth
Shingles can affect the mouth if the virus affects certain parts of the trigeminal nerve.
Shingles in the mouth may present as small, fluid-filled blisters on the palate and gums. It can also affect the tongue. Oral presentations of shingles may or may not occur in addition to a skin rash or lesions on the face.
Complications of shingles of the mouth may affect the teeth, and include tooth loss and tissue decay.
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Are There Any Home Remedies For Shingles
Care for the skin rash can be provided at home, and this can offer some symptom relief.
- Topical calamine lotion can be applied to the rash in order to decrease itching.
- Cool wet compresses against the painful rash can sometimes be soothing, and for some individuals, a compress with aluminum acetate solution may also be helpful.
- For some, colloidal oatmeal baths may also provide relief from the itching.
- It is important to maintain good personal hygiene, avoid scratching the rash, wear loose-fitting clothes, and try to keep the affected area clean in order to prevent secondary bacterial infection of the skin.
- The rash should be covered to decrease the risk of transmissibility should you come into contact with susceptible individuals.
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.
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What Types Of Health Care Professionals Treat Shingles
Shingles are most commonly diagnosed and treated by a primary care physician or an emergency medicine physician.
- For certain individuals who develop complications of shingles, a specialist in ophthalmology, neurology, or infectious disease may also be involved.
- Select patients with postherpetic neuralgia may require the care of a pain specialist.
Can Shingles Be Prevented
There are 2 vaccines available to reduce the likelihood of developing shingles, Zostavax and Shingrix. If you are over 50, you can talk to your doctor about whether you need it. It is recommended for everyone over 60 and is given free of charge in Australia to people aged 70 to 79.
Vaccination will not guarantee that you will not get shingles, but it will reduce your chance of developing the condition. The vaccine used to protect against shingles is not the same as the vaccine used to protect against chickenpox. Read more about the chickenpox vaccine here.
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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.
If You Have More Than One Area Of Blisters What Can You Expect If You Go To The Hospital
Its important to note that most people with shingles dont need to be in a hospital, but if you do:
- Youll be in a contact isolation room.
- The door will be kept closed.
- A sign on your door will remind people who have never had chickenpox or the vaccine not to enter.
- The sign will also remind staff to wear gowns and gloves when entering the room.
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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 You Catch Shingles
Shingles is not contagious. You cant catch it from someone. But, you can catch chickenpox from someone with shingles. So, if youve never had chickenpox, try to stay away from anyone who has shingles.
If you have shingles, try to stay away from anyone who has not had chickenpox or who might have a weak immune system.
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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
What Shingles Symptoms Come Next
After about 1 to 5 days, a shingles rash will appear on one side of the body, often in a single characteristic band around one side of the torso or face.
The painful rash will then form itchy or burning blister-like sores filled with a clear fluid. The blisters will scab over in 7 to 10 days. Theyll gradually grow smaller before disappearing.
Shingles rash symptoms commonly last between 2 to 4 weeks.
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How Contagious Is Shingles
Shingles is not contagious, but the varicella-zoster virus that causes it can be spread to another person who hasnât had chickenpox, and they could develop the disease. You canât get shingles from someone with shingles, but you can get chickenpox.
The varicella-zoster virus is spread when someone comes into contact with an oozing blister. Itâs not contagious if the blisters are covered or have formed scabs.
To prevent spreading the varicella-zoster virus if you have shingles, be sure to keep the rash clean and covered. Do not touch the blisters, and make sure to wash your hands often.
You should avoid being around at-risk people, such as pregnant people and people who have weak immune systems.
for adults ages 50 and older.
Zostavax is a live vaccine, which contains a weakened form of the varicella-zoster virus. The CDC recommends the newer Shingrix vaccine because itâs over 90 percent effective and is more likely to last longer than the Zostavax vaccine.
While side effects such as allergic reactions are possible from these vaccines, the CDC has no documented cases of the varicella-zoster virus being transmitted from people who were vaccinated.
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