Post herpetic neuralgia. For some people, shingles pain continues long after the blisters have cleared. This condition is known as post herpetic neuralgia, and it occurs when damaged nerve fibers send confused and exaggerated messages of pain from your skin to your brain. Vision loss. Shingles in or around an eye (ophthalmic shingles) can cause painful eye infections that may result in vision loss. Neurological problems. Depending on which nerves are affected, shingles can cause an inflammation of the brain (encephalitis), facial paralysis, or hearing or balance problems. Skin infections. If shingles blisters aren&apos;t properly treated, bacterial skin infections may develop.
Shingles ( Herpes Zoster)
Presented By : Areeba AzeemPresented By : Areeba Azeem
Also known as Herpes Zoster.
An acute viral infection of the nerve cells and
Characterized by a rash of blisters, can be very
painful but is not life-threatening.
Caused by the varicella zoster virus that also
• Shingles usually appears, band of blisters on one side of the chest or back,
but it can occur anywhere on the body, including on the face and near the
Varicella-zoster virus (VZV) infection causes two
clinically distinct forms of disease:
1. Varicella (chickenpox)
1. Herpes zoster (shingles)
Herpes virus (DNA)
Primary infection results in varicella (chickenpox)
Recurrent infection results in herpes zoster (shingles)
Clinical presentation of shinglesClinical presentation of shingles
Initial prodromal stageInitial prodromal stage
The first signs of shingles may include
Feeling generally unwell
A rash will begin to develop, often causing a pain.
Itching or tingling sensation in the area of the affected
A fluid filled painful rash then develops a few days after
and commonly occurs either on one side of the face or
Fluid-filled blisters that break open and crust over
in 7-10 days and this clears within 2-4 weeks.
Complications Of ShinglesComplications Of Shingles
1.1. Post herpetic neuralgia (PHN)Post herpetic neuralgia (PHN)
Post herpetic neuralgia can cause severe nerve pain
that persists after the rash. PHN occurs most
often in elderly people and in people whose
immune systems have been compromised.
2.2. Ophthalmic shinglesOphthalmic shingles
Shingles in or around an eye can cause
painful eye infections that may result in
3.3. Ramsay Hunt syndromeRamsay Hunt syndrome
Otherwise known as herpes zoster oticus, is
inflammation of several of the nerves that come
out of the brain. The symptoms of Ramsay
Hunt syndrome are facial paralysis, ear pain.
5. Hearing problems
6. Bacterial infections on the skin.
Treatment Of Herpes ZosterTreatment Of Herpes Zoster
Management of acute herpes zosterManagement of acute herpes zoster
Antiviral medicationAntiviral medication to reducepain and
complications. Should bestarted within 24
hoursof first symptom .Thesemedications
Management of Post herpetic Neuralgia
Tricyclic antidepressants, such as
Opoids, such asmethadone,
Anticonvulsants, such asgabapentin.
Topical anesthetics, including
Apply cool water compressesto the
skin or soak in abathtub filled with
Add finely ground oatmeal to the
Apply calaminelotion to theaffected
Trim your fingernailsto avoid
Wear loose-fitting clothing.
o Shingles vaccine (Zo stavaxShingles vaccine (Zo stavax ))
It is given to people 60 years of age and older who have already had the
The shingles vaccine is a live vaccine given as a single injection, usually in
the upper arm. The most common side effects of the shingles vaccine are
redness, pain, tenderness and swelling at the injection site, and headaches.