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Shingles can affect individuals of all ages, including young children. For younger populations, certain risk factors can increase the likelihood of contracting the infection. These include conditions that compromise the immune system, such as autoimmune diseases or chronic health issues, as well as the use of steroids or other medications that suppress immune responses. Additionally, stress—both physical and emotional—can also weaken immunity, heightening vulnerability to viruses like varicella-zoster.
The Progression of Shingles Symptoms
While many often link shingles with its iconic painful rash, the onset of the condition can present other symptoms beforehand. Typically, individuals may experience:
- Pain, burning, itching, or tingling sensations on the skin
- Headaches
- Sensitivity to light
- A general feeling of discomfort known as malaise
Following this initial phase, a blistering rash typically appears, frequently localized to one side of the body or face. Dr. Wender highlights that because the varicella-zoster virus resides in the nerve root, the rash tends to align with the path of the affected nerve. As the condition progresses, the blisters may burst, ooze, and eventually form scabs over the span of two to four weeks, often accompanied by significant pain.
The American Academy of Dermatology Association recommends meticulous care for shingles rashes, suggesting the use of fragrance-free cleansers, application of pure petroleum jelly, and protection with clean, non-stick bandages until complete healing occurs. After contacting the rash, proper handwashing is essential to prevent spreading the virus. It is also advised to keep the rash covered with loose-fitting clothing and to avoid popping blisters, as the fluid they contain can transmit herpes zoster, potentially causing chickenpox in unvaccinated individuals.
Potential Complications of Shingles
Although severe complications from shingles are rare, they can be significant. In some instances, the pain associated with shingles can persist for months or even years, although this is an uncommon occurrence. Only about 10 to 18 percent of individuals affected by shingles may develop a condition known as postherpetic neuralgia. This chronic nerve pain stems from damage created by the herpes zoster virus to the nerves, leading them to send erratic signals that the brain interprets as pain.
Shingles can also impact the eyes, with approximately 8 to 20 percent of those diagnosed experiencing herpes zoster ophthalmicus, where the virus affects a nerve connected to vision. This can result in conditions ranging from pink eye and inflammation of various eye parts to more severe consequences like vision loss. This particular complication tends to be more prevalent among older adults and those with compromised immune systems.
Importance of Early Diagnosis and Treatment
If shingles is suspected, it is crucial to seek medical attention promptly. Mangini recounts that her physician’s assistant at a nearby urgent care center quickly identified her condition based on both her symptoms and the rash’s appearance. In some cases, healthcare providers may opt to swab the blisters or take tissue samples to confirm the diagnosis through lab testing.
Source
www.self.com