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Written by Dr. Ringpfeil

Shingles - Herpes Zoster

Shingles, is a viral disease causing a blistering skin rash that appears as stripes. Usually the rash only occurs on one side of the body and is preceded by general itching and headache. The virus that causes shingles, called herpes zoster, also causes the short duration rash, chickenpox. The chickenpox virus never leaves the body once an individual has the disease but instead remains dormant in the spinal nerves. Unexpectedly, in old age the herpes zoster virus flares-up and manifests as shingles. Usually shingles occurs in patients fighting an infection that has weakened the immune system. Patients with HIV or receiving anti-cancer therapy are at an especially high risk of developing the disease. Approximately five out of every thousand adults over the age of 65 contract shingles. The main clinical sign is the rash, but most people report intense pain that lasts for four weeks as a result of nerve irritation from the virus. Since the nerves are mainly affect by the virus, some people even report eye pain and temporary losses of vision as a result of a rash on the face. Most symptoms depend upon the location of the body presenting the rash.

Shingles Diagnosis

Since the rash is distinct a doctor can easily diagnose shingles with a physical examination. Often, a patient history is necessary to confirm that the individual had chickenpox. If the rash is not present or the rash is not the distinct line form on one side of the body, biochemistry tests can reveal the virus circulating in the body.

Shingles Treatment

Similar to chicken pox, the virus must run its course in the body before disappearing. Most treatment options focus on lessoning the pain, fever, and itching that accompanies shingles. Antivirals commonly reduce the spread of the virus in the body and decrease the duration of the rash but do not treat the residual nerve pain. Lotion helps relieve the itching while pain medications such as morphine or steroids can lesson the pain and help stop the inflammation. If the itching and pain does is not reduced with lotions, local anesthetic such as lidocaine can often reduce the irritation from the rash.

Shingles Management

After taking medication, the patients should stay out of direct sunlight which can irritate the rash. Proper rest is essential since stress is one of the main factors promoting further inflammation and outbreaks. The shingles virus is contagious to people who have never had chicken pox. Therefore, young children and adults who never had the virus should stay away from the individual with shingles.

Shingles Prevention

A new vaccine called Zostavax was recently developed and has been proven to reduce the occurrence of herpes in half of the people who are infected. Since 2007, adults over the age of 60 who have had chickenpox as a child are recommended to take the vaccine. Some research has also shown that adults who have had chickenpox develop some immunity to shingles by being around children who have chickenpox. Most importantly, a healthy immune system greatly decreases the chances of developing shingles and low stress environments minimize the risk of outbreaks.

Shingles - Resources


Chicken Pox / Shingles (Varicella - zoster)
VZV Research Foundation
36 East 72nd St
New York, NY 10021
Tel: 212-472-3181

http://www.ninds.nih.gov/disorders/shingles/detail_shingles.htm

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SKIN

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Last updated: 1/25/2023 4:59 PM

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Compare our service to other similar practices

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Overall doctor performance

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The doctor listened to you attentively

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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

excellent
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5.69%
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2.18%
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
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Aesthetician performance

excellent
88.6%
very good
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Office comfort

excellent
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6.93%
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Parking

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Friendliness of the staff during appointment

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What WE DID WELL

(Answers:674)

Everyone is so warm and welcoming! great ambience, great music The lovely doctor is perfect- highly skilled, warm and a great mother!

#12022-08-07

original paintings are wonderful

#22010-12-15 11:34:02

The docotr was very nice and helpful!

#32022-04-03

Very knowledgeable and good at explaining the condition.

#42022-02-23

Quiet, on time, attentive, professional, organized, convenient, reasonably priced compared with others in the area.

#52011-01-31 10:42:48

Dr. Ringpfeil was very friendly & took time to answer all my questions. Very attentive & knowledgable!

#62022-12-22

i liked the registration process. It was very efficient.

#72022-12-06

Talking with the Physician

#82022-11-09

The information provided by the physician was very helpful and useful. I would gladly do what she recommended.

#92022-10-26

very informative about everything

#102022-08-05

What can we do better?

(answers:373)

May be by considering the comfort of the patients by allowing a grace period of atleast10-15mins and also by functioning on weekends too

#12022-12-21

All fine

#22022-07-12

Only the 30 minute wait time really should be shortened.

#32022-11-13

My only complaint is that I work and live (1 mile from) Center City, PA and I wish the office (Dr. Ringpfield) had weekend or later hours. Dr. Heckman was great but she cannot assist me with my cosmetic issues. Overall - like the office and professionalism.

#42011-08-10 18:44:27

Coffee, Tea? only kidding. Hope I gave the reader a smile today.

#52011-02-21 10:56:55

more availability for appointments.

#62022-09-24

I have nothing to add, everyone was superb, made you feel right at home and insanely knowledgable. I am beyond happy.

#72010-09-28 11:03:56

Everything was great thanks!

#82011-02-25 11:46:15

service was excellent

#92022-02-01

I think I was served most excellently. I cannot thing of anything to add.

#102022-07-25

Customer Rating : 4.6

Based on 402 ratings
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