(B02) Zoster [herpes zoster]

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1 170 253 in individuals diagnosis zoster [herpes zoster] confirmed
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12 231 deaths with diagnosis zoster [herpes zoster]
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1% mortality rate associated with the disease zoster [herpes zoster]

Diagnosis zoster [herpes zoster] is diagnosed Women are 14.78% more likely than Men

498 671

Men receive the diagnosis zoster [herpes zoster]

3 712 (0.7 %)

Died from this diagnosis.

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671 582

Women receive the diagnosis zoster [herpes zoster]

8 519 (1.3 %)

Died from this diagnosis.

Risk Group for the Disease zoster [herpes zoster] - Men and Women aged 75-79

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In Men diagnosis is most often set at age 0-95+
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in in men, the disease manifests at any agein in women, the disease manifests at any age
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In Women diagnosis is most often set at age 0-95+

Disease Features zoster [herpes zoster]

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Contagious
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Infectious Contact
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Moderate individual risk, low public risk
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Zoster [herpes zoster] - what does this mean

Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus (vzv) that remains dormant in the body after a person has had chickenpox. it causes a localized, painful rash with blisters, usually on one side of the body or face.

What happens during the disease - zoster [herpes zoster]

Опоясывающий герпес всегда локализуется по ходу расположения нервных стволов, очень часто в межрёберных, и в ветвях тройничного нерва; характерные симптомы — односторонность поражения и болевой синдром. В большинстве случаев высыпания появляются на туловище, но могут появляться на лице и даже на голове. Кожным высыпаниям при опоясывающем лишае практически всегда предшествуют общее недомогание, зуд, субфебрильная температура тела, невралгические боли и покалывания на местах будущих высыпаний.

Следующая стадия характеризуется появлением отечных розовых пятен, которые в течение 3—4 суток группируются в эритематозные папулы, которые быстро превращаются в пузырьки. Примерно на 6—8 сутки пузырьки начинают подсыхать, ни их месте появляются жёлто-коричневые корочки, которые потом самостоятельно отпадают, на их месте может сохранятся незначительная пигментация. После исчезновения высыпаний у некоторых больных может сохранятся постгерпетическая невралгия, которая очень тяжело поддается лечению.

Длительность течения неосложнённой формы опоясывающего лишая составляет примерно 3—4 недели. Болевой синдром может не утихать в течение нескольких месяцев. В очень редких, ничем не осложненных случаях течение опоясывающего герпеса может быть не просто легким, но и практически безболезненным.

Рассмотренная выше типичная форма протекания опоясывающего лишая наблюдается у более чем 90% пациентов. Однако в отдельных случаях инфекция может проявлять себя и по другому, протекая в следующих формах:

  • пузырная, при которой на теле появляются не мелкие, а достаточно большие пузыри, наполненные жидкостью.
  • Абортивная, при которой нет ни высыпаний, ни болей.
  • Геморрагическая, характеризующаяся присутствием крови в пузырьках.
  • Глазная форма, при которой поражаются участки кожи возле глаз и возможно развитие кератита, ирита и глаукомы; при этой форме часто возникают поражения лицевого нерва, параличи и потеря зрения.
  • Ушная форма, приводящая к сильным болям в слуховом проходе и нередко – к потере слуха.
  • Менингоэнцефалическая форма, при которой поражаются нервные ткани, оболочка и сам головной мозг. При этой форме возникают галлюцинации, атаксия, гемиплегия, и она же характеризуется высокой летальностью — свыше 60%.
  • Гангренозная, приводящая к некрозу тканей в области высыпаний и последующему образованию многочисленных рубцов на коже.

Последняя форма наиболее характерна для пациентов с иммунодефицитом.

Характерной особенностью опоясывающего лишая является то, что от рецидива к рецидиву в одном организме острота симптомов постепенно снижается. Но при этом с каждой новой реактивацией вируса возрастает риск появления осложнений.

Clinical Pattern

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How does a doctor diagnose

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Treatment and Medical Assistance

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16 Days of Hospitalization Required
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Average Time for Outpatient Care Not Established

Zoster [herpes zoster] - Prevention

The best way to prevent zoster (herpes zoster) is to get vaccinated. the vaccine is recommended for people over the age of 60, as well as those with weakened immune systems. it is also important to practice good hygiene habits, such as washing hands frequently and avoiding contact with people who have the virus. additionally, eating a balanced diet and getting regular exercise can help boost the immune system and reduce the risk of developing zoster.

Main symptoms of the disease zoster [herpes zoster]

Goosebumps

(Gooseflesh, Goose pimples, Chill bumps, Hickey bumps, Chicken skin, Horripilation)

Goosebumps are small bumps on the skin that appear in response to fear, cold temperatures, or excitement. They are caused by the contraction of tiny muscles called arrector pili, which make the hair stand up and cause the skin to pucker. Goosebumps usually appear on the arms, legs, and back, but can...

Age: 1 to 100Accociated with 16 diseases

Spots on the skin

Spots on the skin can be caused by a variety of conditions, including infections, allergies, and even skin cancer. They can vary in size, shape, color, and texture, and can be raised or flat. Spots can develop gradually or suddenly, and may appear in clusters or as a single spot. Common types of spo...

Age: any ageAccociated with 32 diseases

Skin depigmentation

(Discoloration, Lightening, Whitening, Bleaching, Fading, Loss of pigmentation, Depigmenting, Pallor, Chalkiness)

Skin depigmentation is a condition in which patches of skin lose their normal color, becoming lighter or completely white. It can appear in different forms and can develop gradually or suddenly. It is often accompanied by itching, burning, or a tingling sensation. Common types of skin depigmentation...

Age: any ageAccociated with 9 diseases
Rash

Rash

(Eruption, Dermatitis, Skin irritation, Hives, Itching, Inflammation, Redness, Bumps, Blotches, Scaly patch)

A rash is an area of irritated or swollen skin. It may appear as red bumps, patches, or blisters and can be itchy, dry, or painful. It can develop suddenly or over time and can be caused by a variety of factors, including allergies, infections, and irritants. Common rashes include eczema, hives, and...

Age: any ageAccociated with 103 diseases

Fatigue

(Tiredness, Exhaustion, Lethargy, Lassitude, Weariness, Burn-out, Weakness, Malaise, Lack of energy, Lack of strength, Listlessness)

Fatigue is a common symptom that can range from mild to severe. It is usually characterized by a feeling of tiredness and exhaustion that can range from mild to severe. It can develop gradually over time or suddenly, and can be caused by a variety of factors, including physical or mental stress, sle...

Age: 1 to 100Accociated with 157 diseases

Elevated temperature 37-38 °

(High temperature, Fever, Feverishness, Pyrexia, Hyperthermia, Heat, Warmth, Hyperpyrexia, Hyperthermy, Thermalgia)

Elevated temperature is a symptom of illness where the body temperature is higher than normal. It typically appears as a fever, with the temperature ranging from 37-38°C. It is often accompanied by other symptoms such as chills, body aches, and fatigue. Elevated temperature can develop over a few da...

Age: any ageAccociated with 165 diseases

Tissue edema

(Fluid retention, Swelling, Puffiness, Fluid accumulation, Bloating, Hydrops, Dropsy, Congestion, Inflammation)

Tissue edema is an accumulation of fluid in the interstitial space of the body. It can occur in any part of the body, but is most commonly seen in the extremities, face, and abdomen. It is characterized by swelling, tenderness, and a feeling of tightness in the affected area. It may develop graduall...

Age: any ageAccociated with 132 diseases

Pain in the pancreas

(Pancreatic pain, Agonizing pancreas, Ache in pancreas, Torture in pancreas, Discomfort in pancreas, Distress in pancreas, Miserable pancreas, Painful pancreas, Sore pancreas, Troubling pancreas)

Pain in the pancreas is usually a sharp, burning sensation in the upper abdomen that can radiate to the back. It can start abruptly and last for several minutes to several hours. It may worsen after eating or drinking alcohol and can be accompanied by nausea, vomiting, and fever. Pain can be mild to...

Age: 1 to 100Accociated with 5 diseases

Itching

(Irritation, Scratching, Tickling, Crawling, Burning, Prickling, Tingling, Stabbing, Throbbing)

Itching is a common symptom that can range from mild to severe. It typically presents as an uncomfortable sensation that compels the affected person to scratch the affected area. Itching can develop gradually or suddenly and can be localized or generalized. It can be caused by a variety of condition...

Age: any ageAccociated with 96 diseases

Grey hair

(Silver hair, Salt and pepper hair, White hair, Hoariness, Canities, Grizzled hair, Achromotrichia)

Grey hair is a common symptom of aging, or premature aging due to genetics, stress, or illness. It is characterized by the gradual replacement of the normal pigmentation of the hair with a silver or white color. Grey hair develops slowly over time, beginning at the scalp and progressing to the ends ...

Age: 17 to 100Accociated with 9 diseases

Specified forms of the disease

(B02.0+) Zoster encephalitis
(B02.1+) Zoster meningitis
(B02.2+) Zoster with other nervous system involvement
(B02.3+) Zoster ocular disease
(B02.7) Disseminated zoster
(B02.8) Zoster with other complications

Possible Disease Complications

Pneumonia, organism unspecified
Unspecified viral hepatitis