Clinical manifestations of herpes zoster

Written by Liu Gang
Dermatology
Updated on February 14, 2025
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Shingles is a disease caused by the varicella-zoster virus infection. Its most characteristic symptom is the appearance of clustered small blisters distributed along nerve paths on one side of the body, which are quite painful and generally do not cross the midline. This disease has a certain natural course, and it can usually heal within one week to ten days. Some individuals, if in good physical condition and with strong immunity, may recover without medication. However, once identified, it is best to treat with antiviral medications. Delaying treatment may lead to postherpetic neuralgia, which involves severe pain. Therefore, it is crucial to undergo proper treatment once the disease is detected. During treatment, patients should rest more, drink plenty of water, and avoid spicy and irritating foods.

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Written by Zhu Zhu
Dermatology
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Does shingles recur?

Shingles, this skin disease is recurrent. Not only is it contagious, but it also has a propensity to recur. The likelihood of recurrence is greatly influenced by one's own resistance and also greatly related to the people one comes into contact with. Therefore, after recovering from shingles, it is essential to avoid further contact with other shingles patients or those with chickenpox. One should balance work and rest, drink plenty of water, get adequate rest, and enhance personal immunity. If shingles recurs, it is crucial to seek timely treatment at a reputable hospital.

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Written by Zhu Zhu
Dermatology
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Does shingles itch?

Shingles most often leads to the formation of long blisters or herpes, accompanied by significant pain, which is the experience of most patients. However, a minority of people may not feel significant pain but instead experience itching. This is also a manifestation of the inflammation caused by shingles. Therefore, some patients with shingles feel itchy. Both itching and pain require timely antiviral treatment, along with medication that nourishes the nerves.

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Written by Li Jing
Rheumatology
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Foods to avoid with herpes zoster

Shingles is a viral infection, most commonly seen in individuals with diabetes, autoimmune diseases, the elderly, or those who have been taking immunosuppressive drugs for a long time. In other words, it mainly occurs in people with compromised immune systems, who are susceptible to shingles virus infections. After the blisters from the shingles infection rupture, the skin can become infected. It is advisable to wear cotton clothing to help prevent infection. Regarding diet, it should be emphasized again to drink plenty of water and eat fresh fruits and vegetables, while avoiding spicy and irritating foods.

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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.