How long should shingles be isolated?

Written by Zhu Zhu
Dermatology
Updated on August 31, 2024
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The contagious period of shingles is about two weeks, so it is advisable to isolate for two to three weeks. Shingles typically occurs in people with weakened immune systems and is mainly caused by the varicella-zoster virus. The primary symptoms are red blister clusters on the skin that follow nerve pathways, accompanied by significant pain. Treatment primarily focuses on antiviral medication, nourishing the nerves, and relieving pain. Generally, within two to three weeks, the rash can crust over and shed, at which point it is no longer contagious, and isolation is no longer necessary.

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Written by Zhu Zhu
Dermatology
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How long is the incubation period for herpes zoster?

Shingles is a common dermatological disease primarily caused by the varicella-zoster virus. Shingles has an incubation period, but the duration is uncertain, generally ranging from 3 to 20 days. The reason the incubation period for shingles is variable is that after being infected with the varicella-zoster virus, it accumulates in the nerves of the spinal cord and does not exhibit any symptoms physiologically. The virus only begins to proliferate rapidly and triggers the disease when the body's resistance decreases, or in the event of an infection, a cold, or fatigue.

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Written by Xie Ming Feng
Dermatology
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herpes zoster symptoms

The symptoms of herpes zoster primarily manifest as irregular erythema on certain parts of the body's skin, followed by clusters of rice-grain or mung bean-sized raised vesicular rash, blisters, and blood blisters. These rashes generally appear on one side of the body, not crossing the body's midline, and are accompanied by local sensations of burning, scalding pain, stabbing pain, numbness, itching, and other abnormal neural sensations.

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Written by Zhu Zhu
Dermatology
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Can people with herpes zoster take a bath?

Whether or not someone who has herpes zoster (shingles) can take a bath depends on the individual’s condition. Most patients can bathe, but they must not scrub, especially at the areas affected by the rash. A minority of patients should avoid bathing if their blisters have ruptured, leading to open sores that could facilitate a secondary bacterial infection. In such cases, bathing is not recommended as it may worsen the infection.

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Written by Zhu Zhu
Dermatology
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What should not be eaten with herpes zoster?

Patients with herpes zoster need to pay close attention to their diet. Firstly, they should avoid overly greasy and overly spicy foods. Seafood and barbecue should also be avoided as much as possible. Smoking and drinking alcohol are prohibited. Secondly, patients with herpes zoster generally have lower immunity and weaker constitutions. Therefore, it is recommended to eat more soy products, or foods rich in protein, such as fish and lean meat. It is also necessary to consume plenty of fresh vegetables and fruits, and eat foods that are easy to digest. Lastly, patients with herpes zoster should try to eat fewer acidic foods, such as spinach, carbonated drinks, and other beverages that contain additives.

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Written by Zhu Zhu
Dermatology
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How is herpes zoster transmitted?

Shingles is caused by the activation of the varicella-zoster virus that lies dormant in the nerve roots, affecting both the skin and nerves. There are several ways shingles can spread, mainly through direct contact or droplet transmission. Direct contact transmission primarily occurs because the blister fluid in shingles blisters contains a high concentration of the virus. Therefore, before the blisters of a person with shingles are completely dry, they are somewhat contagious, primarily affecting those with lower resistance such as the elderly, children, women of childbearing age, pregnant women, and so on.