A 22-year-old male asked:
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how can we identify a herpes zoster patient?

3 doctor answers
Dr. Vitaliy Krol
18 years experience Infectious Disease
Herpes zoster : Classic presentation is dermatomally-based unilateral eruption, mostly vesicles, later forming scabs, Thoracolumbar most frequent. Facial or eyes involvement most concerning. If diagnosis is confusing can perform Tzanck smear of vesicle (multinucleated giant cells), viral culture, immunoflourescence stains of fluid/histopathology, PCR. Varicella IgM only useful for primary infection
Answered on Oct 7, 2014
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Dr. Jovita Anyanwu
29 years experience Internal Medicine
Herpes zoster: Shingles occurs in people with history of prior chicken pox. Can occur many years after chicken pox when the persons immune system gets weak. The lesions are usually blisters that follow a single dermatome and does not cross the mid line of the body
Answered on Jun 16, 2018
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Dr. Yash Khanna
56 years experience Family Medicine
Rash and pain: HerpesZoster(Shingles) is caused by Varicella(Chickenpox)virus.which is reactivated in persons body several years after having had Chicken Pox. Typical rash occurs on left or right side of the body and never crosses the middle or face in a single stripe.There may be pain or tingling 2to4days before the rash appears like blisters.Rash heals2to4weeks.In some people pain may persist for months/years
Answered on Dec 23, 2015

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