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- Postherpetic neuralgia (PHN) facts
- What is postherpetic neuralgia (PHN)?
- What causes postherpetic neuralgia?
- What are postherpetic neuralgia symptoms and signs?
- What are the risk factors for postherpetic neuralgia?
- How is postherpetic neuralgia diagnosed?
- How is postherpetic neuralgia treated?
- How long does postherpetic neuralgia last?
- What are the complications of postherpetic neuralgia?
- What is the prognosis for postherpetic neuralgia?
- Can postherpetic neuralgia be prevented?
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What are postherpetic neuralgia symptoms and signs?
The main symptom is pain. The pain can be severe (allodynia - pain due to a stimulus that does not usually provoke pain); patients describe the pain as burning, sharp, jabbing, deep, and aching. Often, the patient feels increased pain when any pressure, even clothing, touches the area. Some patients describe itchy skin and weakness or paralysis of the area.
What are the risk factors for postherpetic neuralgia?
Age is a high risk factor for PHN; the older a person when he or she develops shingles, the more likely it is that the person will develop PHN. People over 60 years of age have about a 60% chance while people 70 or older have about a 75% chance of developing PHN after getting shingles. Another risk factor is family; those people who have close relatives who developed PHN are at a higher risk than people with no family history of PHN.
How is postherpetic neuralgia diagnosed?
The majority of patients who are diagnosed with PHN are done by follow-up of a shingles infection or by the patient's history of a recent shingles infection. The pain is located in the same nerve distribution (dermatome) area, usually on only one side of the person's body where the shingles lesions occurred.