
Shingles or herpes zoster, is an infection caused by
the same virus that causes chicken pox. After recovering from chicken pox, the
virus may lie dormant within the cells of a large nerve. Years later it may
emerge as shingles. It affects only the area of the body served by the nerve
that held the virus.
It is not known what makes the virus
active again. Older adults and people with weakened immune systems are more
likely to get it. Infected people can infect those who have not had chicken pox.
Chicken pox will be the result, not shingles.
Early symptoms are pain, itching, and
possibly decreased feeling in the affected area. A rash begins in a band around
one side of the chest, abdomen, or on the face. The rash blisters, fills with
fluid, then pus, breaks open and then crusts over. It clears up in a few weeks.
Pain may be limited or severe and improve when the rash heals or may continue
for months or years. Post herpetic neuralgia occurs in 50 percent of those who
have had shingles and are over age 60. Herpes zoster can occur in the eye. Any
pain in the eye requires prompt medical evaluation to prevent eye infection or
blindness.
It is important that a person who has
shingles lesions that have not crusted over, avoid physical contact with anyone
who has not had chicken pox.
Seek medical care for proper evaluation and treatment
when the rash first develops.
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