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What is Shingles (Herpes Zoster)?

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox. It results in a painful rash with blisters, typically on one side of the body, along a nerve pathway. Shingles can occur in people who have previously had chickenpox, as the virus can remain dormant in the nerve tissues for many years and reactivate later in life. Shingles is more common in older adults, people with weakened immune systems, and those who have had chickenpox at a young age. The condition can be treated with antiviral medications and pain management.

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What are the causes of Shingles?

Shingles is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. After a person has had chickenpox, the virus remains dormant in the nerve tissues, and later in life, the virus can reactivate and cause shingles.

Several factors can increase the risk of shingles, including:

  • Age: The risk of shingles increases with age, especially after the age of 50.

  • Weakened immune system: People with weakened immune systems, such as those with HIV or cancer, are more likely to develop shingles.

  • Chronic medical conditions: Certain medical conditions, such as diabetes, heart disease, and chronic lung disease, can increase the risk of shingles.

  • Certain medications: Certain medications, such as corticosteroids, chemotherapy drugs, and immunosuppressants, can weaken the immune system and increase the risk of shingles.

  • Previous episode of shingles: A person who has had shingles in the past is at risk of developing it again.

What are the symptoms of Shingles?

The symptoms of shingles include:

  • Pain, burning, or tingling sensations on one side of the body
  • A rash or blisters on the same area of the body as the pain
  • Fever
  • Headache
  • Fatigue
  • Sensitivity to light.

It is important to see a doctor if you suspect you have shingles, as prompt treatment can help reduce the severity and duration of symptoms.

What treatments are available for Shingles?

  • Antiviral Medications: Our dermatologist can prescribe antiviral medications tailored to your specific needs. These medications are effective in reducing the severity and duration of shingles outbreaks while minimizing the risk of complications. Rest assured, we have the expertise to guide you through the appropriate treatment.
  • Pain Management: Shingles can be accompanied by intense pain. Our team can recommend or prescribe pain-relieving medications, including specialized options for nerve-related pain, to ensure your comfort during recovery.
  • Topical Solutions: For the skin manifestations of shingles, we may recommend topical creams or ointments containing corticosteroids to ease inflammation and itching. 
  • Skin Care Guidance: Our dermatologist will provide tailored advice on the best skincare practices for the affected area to prevent complications, including bacterial infections. 
  • Scar Minimization: In cases where shingles results in skin damage or ulceration, our dermatologists offer solutions to minimize scarring and promote optimal healing.

Your Partner in Shingles Care:

It’s important to note that while our dermatologists specialize in the skin-related aspects of shingles, this condition can have broader implications. Depending on your specific case, we may collaborate with other specialists, such as ophthalmologists or neurologists, to ensure comprehensive care.

If you suspect you have shingles or are experiencing painful rash symptoms, we encourage you to contact our office promptly. Early diagnosis and expert care are essential for effective management and a smoother path to recovery.

How to Help Prevent Shingles?

The following steps can help prevent shingles:

  • Get the shingles vaccine: The shingles vaccine is the best way to prevent shingles and its complications.
  • Maintain a healthy immune system: Eat a balanced diet, get regular exercise, and get enough sleep to help maintain a strong immune system.
  • Manage stress: Chronic stress can weaken your immune system, making you more susceptible to shingles.
  • Avoid close contact with infected individuals: If someone has shingles, try to avoid close contact until the blisters have dried and crusted over.
  • Practice good hygiene: Wash your hands frequently, especially after touching someone with shingles or items contaminated with the virus.

Note: If you have already had shingles, getting vaccinated can still help prevent future outbreaks.

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FAQ About Shingles

Who is at risk of getting shingles?

Anyone who has had chickenpox is at risk of developing shingles later in life, especially those over 50 years of age, immunocompromised individuals, and those with a weak immune system.

How is shingles diagnosed?

Shingles can be diagnosed by a healthcare provider based on the symptoms, medical history, and physical examination. A skin sample may also be taken to confirm the diagnosis.

Is shingles contagious?

Yes, shingles is contagious. However, it can only be spread to someone who has never had chickenpox or has not been vaccinated against it.

Can shingles recur?

It is possible for shingles to recur, but this is not common.

Can shingles cause long-term complications?

Yes, shingles can cause long-term complications such as postherpetic neuralgia (PHN), which is a form of chronic pain.

Is there a dermatologist near me in St. Louis that offers treatment for shingles?

Yes. At our St. Louis dermatology office we offers treatment for shingles to patients from St. Louis and the surrounding area. Contact our office today to schedule an appointment.