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Doctor insights on: Herpes Zoster And Methotrexate

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Methotrexate (Definition)

Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more


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Is it possible to have herpes zoster inside the skull?

Is it possible to have herpes zoster inside the skull?

You could say that: Herpes zoster (shingles) is generally a disease of the skin. However, it's possible to get zoster meningitis (infection in the spinal fluid), encephalitis (infection of the brain), or myelitis (infection of the spinal cord). ...Read more

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If you had herpes zoster, does it mean you can have hiv?

If you had herpes zoster, does it mean you can have hiv?

While people with : Hiv/aids as well as others with an impaired cellular immune system are a high risk for shingles but as many as a third of americans will develop shingles in their life time, usually after age 50 and most are not immunocompromised. ...Read more

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Would like to know if it's necessary to take anti-viral for herpes zoster?

Would like to know if it's necessary to take anti-viral for herpes zoster?

Of course: for most cases of acute HZ the use of antiviral therapy (acyclovir, famciclovir or valacyclovir), is recommended to prevent postherpetic neuralgia, a dreaded and extremely painful complication of HZ. ...Read more

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Once Herpes Zoster is triggered, how long does it generally take for the rash to appear?

Once Herpes Zoster is triggered, how long does it generally take for the rash to appear?

Usually no trigger: Your question seems to assume a trigger of herpes zoster (shingles) is usually present or can be identified. Not so. Most cases are random without any prior symptoms or obvious trigger. Conditions that increase risk of shingles, such as immune deficiency of various kinds, typically are present for a long time, often years, before an episode of shingles appears. See MD ASAP if you suspect shingles. ...Read more

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What is the normal pattern of recovery from herpes zoster nerve pain, intermittent or a constant rate of improvement?.

What is the normal pattern of recovery from herpes zoster nerve pain, intermittent or a constant rate of improvement?.

Variable: Recovery from something like this can demonstrate significant variability, but in general, it's usually slow and steady over the course of several months with "good days and bad days". ...Read more

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What is herpes zoster?

What is herpes zoster?

Shingles: Zoster, often referred to as shingles, is a reactivation of the varicella (chickenpox) virus lying dormant in a nerve cell. When it occurs it generally begins without pain or itching in the distribution of the specific nerve and then the development of a rash in that area with small blisters. It tends to occur as a band on the torso or on the face. A vaccine exists to help prevention this. ...Read more

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What are signs of herpes zoster?

Pain, rash,itching: The common word for it is shingles. It may first make itself kinown by severe pain over a given area, very puzzling to a doc. After a day or so the blotchy red rash appears and itching and pain continue until it resolves. There is no valid treatment for it. ...Read more

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What are the forbidden foods(if any) for someone who is suffering from Herpes Zoster?

None: Food choices are very seldom the key to the management of any illness, other than the nutritional disease. Being sick is difficult enough without superstition. While you're recovering from zoster, eat sensibly. Generally, anyone does well to avoid much of the very sugary, the very greasy, or the very salty stuff. Best wishes. ...Read more

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Is herpes zoster contagious airborne?

Is herpes zoster contagious airborne?

Zoster no, c'pox yes: People with their first infection with varicella zoster virus (VZV) (mostly kids w/ chickenpox) are infectious by respiratory secretions -- e.g. coughing on someone who previously never had chickenpox and were not vaccinated against VZV. However, herpes zoster (shingles) dosn't have virus in the respiratory tract -- rarely transmissible except by direct contact with the skin rash. ...Read more

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How can we identify a Herpes zoster patient?

How can we identify a Herpes zoster patient?

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 ...Read more

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How to treat herpes zoster? Can it cause death?

Depends on situation: If you had chicken pox then you risk getting shingles. Vaccination the best way to lower the risk of getting shingles; the severity of pain and complications are signifantly decreased. Acyclovir is used for therapy, but is most effective witihn 48-72 hrs of an outbreak. Death from shingles is rare but can happen esp in pt with impaired immunity. ...Read more

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Any tips on pain relief for shingles/herpes zoster?

Zoster pain: 1. Anti-virals- decrease length of symptoms 2. Anti-inflammatories 3. Neuropathic pain meds: gabapentin, lyrica, (pregabalin) tcas... 4. Traditional pain meds 5. Epidural steroid injections hang in there! ...Read more

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What is the prevalence of herpes zoster worldwide and in india?

VHZ India?: ± 1 million cases/year in usa and 1, 5 million cases in the european union. Couldn't find recent data for india. Try who http://www.Who.Int/en/ you can find a lot of information there. Hope it helps. ...Read more

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Is it possible for lagophthalmos to be from herpes zoster (shingles)?

Is it possible for lagophthalmos to be from herpes zoster (shingles)?

Lagophthalmos causes: Lagophthalmos the inability to close the eyelid completely. This results from damage to the 7th cranial nerve or 'facial' nerve. There are many possible causes such as trauma, stroke, tumors, Bell's palsy, Lyme disease or other rare causes. Although I've never seen a case - zoster could probably do it, although would be quite rare. Zoster infects nerve roots, so if it came out in that area, maybe ...Read more

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Shingles - herpes zoster. In need og natural food suggestions. Any ideas?

Shingles - herpes zoster. In need og natural food suggestions. Any ideas?

Don't know if your: Doc has you on Acyclovir or similar. Also, zostrix (capsaicin) vaccine may decrease future outbreaks. Prednisone can be helpful & is safe if used for short period of time -can help limit long term neuralgia. The only supplement i know of is lysine 500-1000mg 3x/ day during outbreak but it can interact w some antibiotics so check w doc. If outbreak is orotund eyes please see doc to check for eye involvement. ...Read more

Herpes (Definition)

There are different types of herpes infections; herpes simplex infection of mouth (gingivostomatitis) and lips (labialis) are the most common. Others include genital herpes, and herpes zoster. Herpes infection could very mild to very dangerous depending on the type and location of the body affected. I ...Read more


Dr. Heidi Fowler
814 doctors shared insights

Herpes Zoster (Definition)

Shingles (herpes zoster) is a painful, blistering skin rash due to the varicella-zoster virus, the ...Read more