What is shingles?

I want to discuss the condition known as zona zoster or herpes zoster, commonly referred to as shingles. This skin disease occurs when the chickenpox virus, which is contracted at a young age, resides in the dorsal root ganglia and nerve endings, emerging due to trauma or a decrease in immune resistance.

It appears on the skin as fluid-filled blisters. Before the lesions appear, patients may experience sensations like pain, burning, or tingling in a specific skin area known as a dermatome. Although it is often considered an adult disease, it can also occur in childhood.

Is there a risk associated with zona disease?

When diagnosing zona zoster, it is beneficial to assess the general health parameters of the patient. Immunodeficiency may be present. Frequently, underlying physical or psychological stress is involved. The incidence increases in patients undergoing chemotherapy or those with acquired or congenital immunodeficiencies.
If zona appears on the facial region and is near the ear or eye, a detailed examination and treatment of the sensory organs is important.

In rare cases, the disease can occur in more than three dermatomes. In such cases, we refer to it as disseminated zona, or widespread zona disease. It is advisable for the patient to receive intravenous serum treatment while hospitalized.
What should I do if I am diagnosed with zona?

First, I want to emphasize that this is not a situation to be overly concerned about. It is a condition that responds very well to treatment. Pain can sometimes be severe; in such cases, we utilize strong painkillers.

Is zona disease contagious?

Individuals who have not had chickenpox, pregnant women, and children should avoid contact with someone diagnosed with zona. If transmission occurs, the person will develop chickenpox infection.

When does zona pain go away?

In our older patients, pain may persist even after skin lesions have healed. I want to emphasize that this is not a cause for concern. We can continue using vitamin B12 and painkillers for up to three months.

In summary, zona, or shingles, is a skin disease that we commonly see, especially during seasonal transitions. Initially, the pain can sometimes be mistaken for heart or kidney stone pain. Treatment should begin once the skin rash appears. Starting treatment within three days can prevent the development of chronic pain.

Your dermatologist will regulate the treatment. Usually, a 7-day course of oral tablets is sufficient for treatment.