Herpes Zoster Introduction   Herpes zoster is a viral infection that appears as red blisters or vesicles on the skin and manifests with associated nerve pain.  The outbreak usually follows a dermatome or an area of skin that correlates with a particular nerve root.  It is caused by the varicella zoster virus, the same virus that causes chickenpox.   Individuals who had chickenpox can get herpes zoster if the virus becomes active, otherwise the virus remains dormant (inactive).  The virus can become active due to stress, immunocompromise, severe illness, or extreme temperature exposure.  Not all who had chickenpox will get shingles.   Herpes zoster affects men and women equally. It is most common in children, people over the age of 60, and immunocompromised individuals. [1]     Herpes Zoster Shingles   The initial symptomof shingles is pain in the affected area.  About 2-3 days after onset of pain, a rash will develop.  The pain and rash usually follow one or more dermatomes. Usually only one side of the body is affected. T he trunk and back are the most common areas affected, though anywhere on the body can be affected because of nerve involvement.   The rash consists of small vesicles on a erythematous (red) base.  The vesicles will break open and ooze a honey colored liquid then crust over. The vesicles will continue to form for 3- 5 days, then resolve on their own.   The pain that is associated with shingles can take much longer to resolve. It is usually described as burning and can become very intense.  In some cases, individuals may have pain for months to years after the skin eruption has resolved. This diagnosis is  called post-herpetic neuralgia.   Very few patients will have a reoccurrence of the shingles.  This is a distinguishing fact from herpes simplex virus.  Complications can occur if the virus infects nerve roots that innervate the eye, internal organs, or the inner ear. [2]     Herpes Zoster Statistics Herpes zoster will affect 10% of adults some point during their lifetime.   20% of individuals who had chickenpox will be diagnosed with herpes zoster.   There are over 600,000 cases of herpes zoster each year.   The risk of occurrence is 10 times greater if one is over 60 years old or under 10 years old. [3]   Learn More About Herpes Zoster Herpes Zoster Introduction Herpes Zoster Treatment Products helpful for Herpes Zoster   Learn More

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