Shingles overview

A viral infection affecting the nerves and skin

Shingles is a viral infection caused by the same virus that causes chickenpox. You can only develop shingles if you have already had chickenpox at some point in your life.

The virus that causes chickenpox and shingles is the herpes zoster virus, and the medical term for shingles is ‘herpes zoster’.

Around one in three people who have not received the chickenpox vaccination and who have had chickenpox in the past, go on to develop shingles.

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Causes of shingles

How the shingles virus becomes reactivated

The direct cause of shingles is the reactivation of the virus in someone who has previously had chickenpox. The virus can lie dormant for many years in nerve cells close to the spine before becoming reactivated to cause shingles, which affects the nerves.

It is not fully understood what causes this reactivation of the virus.

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Shingles risk factors

Factors that may increase the risk of shingles

A number of risk factors have been identified, including:

Age

Particularly over 60, although risk increases from around 40.

Stress

Physical or emotional stress.

Compromised immunity

Immune system compromise.

Surgery

Organ or bone marrow transplant surgery.

Cancer treatment

Including chemotherapy or radiation therapy.

HIV / AIDS

Virus that attacks the immune system.

Common symptoms of shingles

Signs that shingles may be developing

The main symptoms of shingles are:

Pain or altered sensation

Burning, tingling, numbness or pain affecting a small area of skin, usually on one side of the body.

Skin rash

A red rash generally appears within 2 to 3 days of the initial pain.

Fluid-filled blisters

Blisters may develop within the rash before bursting and forming a crust.

Tiredness

Feeling unusually fatigued or lacking energy.

Headache

Head pain may occur alongside other shingles symptoms.

Fever

An elevated body temperature may develop.

Light sensitivity

Increased sensitivity or discomfort when exposed to light.

Shingles Test And Diagnosis

Diagnosing shingles and recognising urgent symptoms

Shingles is relatively easily diagnosed simply by reviewing symptoms and seeing the rash/blisters. Your doctor may take a sample from the blisters to confirm the diagnosis.

Where the area affected is near the eye, there is a possibility of permanent damage to the eye, so if this is the case, you should seek immediate medical attention.

Anyone affected by additional symptoms such as a severe headache, memory loss, confusion or fever, should also seek immediate medical attention.

It is important to have shingles treated as soon as any of these symptoms appear, since if untreated, pain and other symptoms can last for a long time. This is called ‘post-herpetic neuralgia’. In some cases, the rash and blisters can become infected.

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