Thursday, April 11, 2024

What Does Shingles Start Out Like

Can You Get Shingles If You Havent Had Chickenpox

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

No. You cant get shingles if youve never had chickenpox, but you can get chickenpox from someone who has shingles. If youve never had chickenpox and you come into direct contact with the oozing, blister-like rash of someone with shingles, the varicella-zoster virus can infect you and you would develop chickenpox.

Once youve had chickenpox, you could develop shingles at some point in your life. This is because the varicella-zoster virus never fully goes away after youve had chickenpox. It lies quietly inactive in your nerve tissue. Later in life, the virus may become active again and appears as shingles.

Can you get chickenpox more than once?

Its rare to get chickenpox twice in your life. Once youve had chickenpox, youre usually immune to it for the rest of your life. However, its not totally impossible. If you have a severely weakened immune system , you can get chickenpox a second time. If youve had chickenpox, you are more likely to get shingles at some point in your life than a repeat bout of chickenpox.

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.

Where Does Shingles Come From

When you have chickenpox as a child, your body fights off the varicella-zoster virus and the physical signs of chickenpox fade away, but the virus always remains in your body. In adulthood, sometimes the virus becomes active again. This time, the varicella-zoster virus makes its second appearance in the form of shingles.

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Is It Possible To Prevent Shingles With A Vaccine

In October 2017, the United States Food and Drug Administration approved Shingrix, a non-live vaccine to prevent shingles. The Advisory Committee on Immunization Practices subsequently endorsed Shingrix as the preferred vaccine for the prevention of herpes zoster and its related complications in healthy adults 50 years of age and older. Shingrix is also recommended for adults who previously received the current shingles vaccineZostavax, which was approved by the FDA in 2006. Shingrix, a two-dose vaccine, was found to prevent shingles in more than 90% of patients who received it in clinical trials. By preventing shingles, Shingrix also decreases the incidence of postherpetic neuralgia. Not only does Shingrix provide superior efficacy across all age groups, but it is also felt to confer longer-lasting immunity than Zostavax, which has experienced temporary vaccine shortages due to supply issues. Shingrix is expected to be widely available to U.S. consumers in early 2018. During clinical trials, the most common side effects associated with Shingrix included pain, swelling, and redness at the site of injection, headache, muscle aches, fever, chills, and upset stomach.

How Long Is Shingles Contagious

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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

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The Stages Of Shingles Recovery

After the rash develops, which usually appears on only one side of the body, it forms blisters. You may feel like you have the flu or a mild fever. As you recover, you will typically go through these stages:

  • Blisters begin to burst or weep about 5 days after they develop, and lasts from 7 to 10 days. You should take time off from work and other activities during this period, because you can spread the virus to others through the fluid in the blisters. Otherwise, you can return to work when you feel comfortable doing so.
  • The blisters will scab over and begin to heal, which takes from 1 to 3 weeks, unless the rash is on your scalp in which case it can take several months.
  • As they heal, the blisters become smaller and less painful, generally over a period of 3 to 5 weeks.
  • About 10 to 15% of people with shingles will develop chronic nerve pain, which can be severe. Sensitivity to touch at the site of the rash is possible. The older you are, the more likely it is you will develop this disorder, called post-herpetic neuralgia, or PHN. The pain often lessens over time. Available treatments include anti-inflammatory injections, nerve blocks, certain tricyclic antidepressants, or capsaicin cream, which is made from chili peppers and can help ease nerve pain.

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.

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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.

Measles Rash Looks Like Flat Red Spots

Shingles: What Are the Causes and Best Treatments?

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.

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What Are The Complications Of Shingles

Symptoms of shingles usually dont last longer than 3 to 5 weeks. However, complications can happen. The main complications that can result from shingles include:

  • Postherpetic neuralgia . The most common complication of shingles is called postherpetic neuralgia . This continuous, chronic pain lasts even after the skin lesions have healed. The pain may be severe in the area where the blisters were present. The affected skin may be very sensitive to heat and cold. If you had severe pain during the active rash or have impaired senses, you are at increased risk for PHN. The elderly are also at greater risk. Early treatment of shingles may prevent PHN. Pain relievers and steroid treatment may be used to treat the pain and inflammation. Other treatments include antiviral drugs, antidepressants, anticonvulsants, and topical agents.
  • Bacterial infection. A bacterial infection of the skin where the rash happens is another complication. Rarely, infections can lead to more problems, such as tissue death and scarring. When an infection happens near or on the eyes, a corneal infection can happen. This can lead to temporary or permanent blindness.

Timeline Of Shingles Symptoms

Shingles actually doesnât 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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The First Symptoms Of Shingles

Early symptoms of shingles can appear several days before the more obvious symptoms. However, some people will not have early symptoms before a rash appears.

The most common early symptoms occur on one part of the body or face. This often happens in the abdominal area.

These symptoms many include:

The pain can worsen as shingles develops. The pain can be sharp, stabbing, and intense.

It may also cause hypersensitivity, or an excessive reaction to touch.

There are also other early symptoms of shingles.

Although not every person with shingles will experience them, early symptoms include:

  • general feeling of being unwell

Your doctor can often diagnose shingles based on these symptoms. Your doctor may prescribe medication to speed up recovery.

Medication also reduces the chance of complications, so seeking early intervention is important.

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

The Inside Analysis!: What does shingles look like?

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.

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What Are Symptoms Of Shingles

The first signs of shingles include:

  • Unusual sensations such as tingling, itching, or burning in an area of skin on one side of the body

After one to two days, signs and symptoms of shingles include:

  • A rash that looks like a band-like pattern of blisters on one side of the body
  • Commonly appears on the trunk but can appear on almost any part of the body
  • After three to four days, blisters become open sores
  • After 7 to 10 days, sores crust over and are no longer contagious
  • A rash near the eye that can permanently affect vision if not treated
  • Often starts several days before the rash appears
  • May range from mild to severe
  • May have a sharp, stabbing, or burning quality
  • Only involves the parts of the skin affected by the rash, but it can be severe and interfere with daily activities and sleep
  • Is often worse in older adults than in younger people
  • Skin color changes and scarring may occur after shingles have gone away.

    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.

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    What Are The Signs & Symptoms Of Chickenpox

    Chickenpox often starts without the classic rash, with a fever, headache, sore throat, or stomachache. These symptoms may last for a few days, with the fever in the 101°102°F range.

    The red, itchy skin rash usually starts on the belly or back and face. Then it spreads to almost everywhere else on the body, including the scalp, mouth, arms, legs, and genitals.

    The rash begins as many small red bumps that look like pimples or insect bites. They appear in waves over 2 to 4 days, then develop into thin-walled blisters filled with fluid. The blister walls break, leaving open sores, which finally crust over to become dry, brown scabs.

    All three stages of the chickenpox rash appear on the body at the same time. The rash may spread wider or be more severe in kids who have weak immune systems or skin disorders like eczema.

    Signs And Symptoms Of Shingles

    Shingles: What you need to know about causes, symptoms, and prevention.

    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:

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    What Are The Health Complications

    The most common complication of shingles is postherpetic neuralgia . PHN causes severe pain even after the shingles rash clears.

    People aged 60 years and older who dont seek treatment for shingles are more likely to develop PHN.

    Shingles can also cause serious sight problems if it infects the structures of the eye.

    Other rare complications include:

    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.

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    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.

    What Do Shingles Look Like When They First Start

    Shingles pain

    Youve probably asked yourself, What do shingles look like when they first start? You know the rash, blisters, and pain. But what if you only have one side affected? This article will tell you more about shingles and how to deal with it. Whether youve been suffering from it for years or only recently developed the rash, its important to understand the condition.

    Contents

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    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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