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Shingles - Herpes Zoster

Shingles, is a viral disease causing a blistering skin rash that appears as stripes. Usually the rash only occurs on one side of the body and is preceded by general itching and headache. The virus that causes shingles, called herpes zoster, also causes the short duration rash, chickenpox. The chickenpox virus never leaves the body once an individual has the disease but instead remains dormant in the spinal nerves. Unexpectedly, in old age the herpes zoster virus flares-up and manifests as shingles. Usually shingles occurs in patients fighting an infection that has weakened the immune system. Patients with HIV or receiving anti-cancer therapy are at an especially high risk of developing the disease. Approximately five out of every thousand adults over the age of 65 contract shingles. The main clinical sign is the rash, but most people report intense pain that lasts for four weeks as a result of nerve irritation from the virus. Since the nerves are mainly affect by the virus, some people even report eye pain and temporary losses of vision as a result of a rash on the face. Most symptoms depend upon the location of the body presenting the rash.

Shingles Diagnosis

Since the rash is distinct a doctor can easily diagnose shingles with a physical examination. Often, a patient history is necessary to confirm that the individual had chickenpox. If the rash is not present or the rash is not the distinct line form on one side of the body, biochemistry tests can reveal the virus circulating in the body.

Shingles Treatment

Similar to chicken pox, the virus must run its course in the body before disappearing. Most treatment options focus on lessoning the pain, fever, and itching that accompanies shingles. Antivirals commonly reduce the spread of the virus in the body and decrease the duration of the rash but do not treat the residual nerve pain. Lotion helps relieve the itching while pain medications such as morphine or steroids can lesson the pain and help stop the inflammation. If the itching and pain does is not reduced with lotions, local anesthetic such as lidocaine can often reduce the irritation from the rash.

Shingles Management

After taking medication, the patients should stay out of direct sunlight which can irritate the rash. Proper rest is essential since stress is one of the main factors promoting further inflammation and outbreaks. The shingles virus is contagious to people who have never had chicken pox. Therefore, young children and adults who never had the virus should stay away from the individual with shingles.

Shingles Prevention

A new vaccine called Zostavax was recently developed and has been proven to reduce the occurrence of herpes in half of the people who are infected. Since 2007, adults over the age of 60 who have had chickenpox as a child are recommended to take the vaccine. Some research has also shown that adults who have had chickenpox develop some immunity to shingles by being around children who have chickenpox. Most importantly, a healthy immune system greatly decreases the chances of developing shingles and low stress environments minimize the risk of outbreaks.

Shingles - Resources


Chicken Pox / Shingles (Varicella - zoster)
VZV Research Foundation
36 East 72nd St
New York, NY 10021
Tel: 212-472-3181

http://www.ninds.nih.gov/disorders/shingles/detail_shingles.htm

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SKIN

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

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very good
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Overall doctor performance

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4.89%
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The doctor listened to you attentively

excellent
93.9%
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good
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The doctor took time to answer your questions

excellent
94.0%
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4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
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The doctor explained treatment options

excellent
92.0%
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5.69%
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
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Aesthetician performance

excellent
88.6%
very good
7.61%
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Office comfort

excellent
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6.93%
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Parking

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66.4%
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14.4%
good
15.7%
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2.49%
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0.9%

Friendliness of the staff during appointment

excellent
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What WE DID WELL

(Answers:674)

very informative about everything

#12017-11-01

The friendliness of the staff; I felt like the doctor really cared and wasn't just rushing me through the appointment. I felt heard and seen and appreciated.

#22011-01-25 09:09:30

All was extraordinary, compared to most doctor's offices. However, the doctor's explanation of the condition was particularly outstanding.

#32011-09-28 14:40:16

the doctor and assistant were very nice and the doctor very inormative and clear

#42018-02-09

I WAS VERY COMFORTABLE WITH THE VISIT

#52017-12-02

Everything was explained to me in detail; the doctor especially was very thorough both during and after her examination.

#62018-02-03

from the minute I walked the reception was wonderful and I saw my doctor very quickly... very little waiting.

#72017-07-16

The dr spent a lot of time answering my questions.

#82011-10-17 16:10:34

I WAS VERY COMFORTABLE WITH THE VISIT

#92017-10-21

Friendly attentive staff and very nice ambience (love the art work!)

#102018-02-04

What can we do better?

(answers:373)

Can't think of anything right now.

#12010-10-21 15:50:32

Everything was delightfully pleasant and comforting.

#22011-03-28 09:42:42

Excellent experience Can't think of anything I would change

#32011-04-04 11:16:27

receptionist should not be so quick to refuse insurance before fully understanding the the type of insurance and how it functions

#42011-09-14 09:34:31

I can't think of anything else that you can do, everything was excellent.

#52018-06-04

Everything was great

#62017-09-06

No suggestions

#72018-06-07

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#82017-07-25

Just don't change what you're doing

#92017-08-18

Get some better parking spaces

#102018-04-25
Customer Rating : 4.1

Based on 36 ratings