Shingles

  • Medical Author:
    Steven Doerr, MD

    Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.

  • Medical Editor: John P. Cunha, DO, FACOEP
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

Quick GuideShingles Pictures Slideshow: A Collection of Photos on Shingles

Shingles Pictures Slideshow: A Collection of Photos on Shingles

What are shingles symptoms and signs?

Shingles usually starts with burning, tingling, itching, or stinging in the region where the rash will ultimately develop. Sometimes, this pain can be severe and individuals may complain of extremely sensitive skin. This discomfort typically occurs a few days before the rash develops. In rare instances, the characteristic shingles rash will not appear (a condition called zoster sine herpete).

Often, individuals may also experience other associated symptoms such as

A few days after the skin discomfort begins (or rarely, several weeks afterward), the characteristic rash of shingles will appear. It typically begins as clusters of small red patches that eventually develop into small blisters. These fluid-filled blisters eventually break open, and the small sores begin to slowly dry and crust over. The crusts usually fall off after several weeks, and the shingles rash typically clears up after approximately four weeks. Though uncommon, in cases of a severe rash, skin discoloration or scarring of the skin is possible.

The location of the shingles rash can vary. Though shingles can appear almost anywhere on the body, it most commonly affects the torso and the face (including the eyes, ears, and mouth). It is often present in the area of the ribcage or the waist. This characteristic rash is in a stripe or band-like pattern that affects only one side of the body (the right or the left), and it usually does not cross over the midline. In some cases, the rash can affect adjacent dermatomes (an area of skin that is supplied by a single spinal nerve), and rarely it can affect three or more dermatomes (a condition termed disseminated zoster). Disseminated zoster generally occurs only in individuals with a compromised immune system. Continue Reading

Reviewed on 5/18/2016
References
REFERENCES:

United States. Centers for Disease Control and Prevention. "Shingles (Herpes Zoster)." <http://www.cdc.gov/shingles/>. May 1, 2014.

United States. NIHSeniorHealth. "Shingles." July 2015. <http://nihseniorhealth.gov/shingles/aboutshingles/01.html>.

IMAGES:

1. Getty Images

2. "Herpes zoster chest" by Fisle

3. Getty Images

4. iStock

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6. Bigstock

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8. iStock

9. Steve Pomberg

10. Getty Images

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