Herpes Zoster

Herpes Zoster

Herpes Zoster is caused by Varicella-zoster virus.
Varicella-zoster virus causes two distinct clinical entities: varicella, or chickenpox, and herpes zoster, or shingles. Herpes Zoster presents as a type of skin rash accompanied by severe nerve pain.

Herpes zoster disease, is the consequence of reactivation of latent VZV ( Varicella – zoster virus ) from the dorsal root ganglia. Herpes zoster occurs at all ages, but its incidence is highest (5 to 10 cases per 1000 persons) among individuals in the sixth through the eighth decades of life. It has been suggested that approximately 2 percent of patients with herpes zoster will develop a second episode of infection.

This disease is characterized by a one sided vesicular eruption on the line of a nerve and is associated with severe pain. The erythematous maculopapular rash changes rapidly into vesicular lesions. The onset of the disease starts usually with severe pain on the line of the nerve that is involved with the disease process. The eruption may remain few in number or may continue to form for 3 to 5 days. The total duration of disease is generally between 7 and 10 days; however, it may take as long as 2 to 4 weeks for the skin to return to normal.

The disease may appear practically any place in the body. It may appear on the face (very common), tongue, mouth, and eye. It’s commonly seen on the one side of the chest.

If vesicles appear in the ear canal,  patients lose their sense of taste in the anterior two-thirds of the tongue while developing one sided facial palsy.

Post Herpetic Neuralgia is the most common complication of this disease. It’s seen most in the elderly patients or in immuno-compromised patients. This is a very troublesome pain persisting after the resolution of the disease process.

Treatment
Acyclovir, 800 mg per day for 7 to 10 days. FamciclovirValacyclovir are also used for herpes zoster. Other supportive measures may also be needed to manage pain and to prevent secondary infection of the eruptions.

Involvement of the eye needs timely care by ophthalmologist. Eye involvement can be troublesome when cornea is involved.

 

 

 

 

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This entry was posted in Diseases & Conditions and tagged by Manbir & Gurpreet. Bookmark the permalink.

About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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