Shingles And Common Clinical Symptoms

Zoster Virus (VZV) causes, lesions involving ganglia, nerve roots and skin. The disease occurs at any age, but usually in older people. There is no gender or racial discrimination. Today, with the growing number of people infected with HIV-AIDS, shingles has a high frequency and complicated movements in this subject.
Clinical symptoms: there are 2 stages
Million VND period:
Pain, paresthesia: usually a few days before the lesion develops, at the site of the skin dominated by the viral ganglia The patient feels burning, stinging, stinging, numb, intermittent, or constant. Touching the skin with increased sensitivity. Some people feel like there's a parasite crawling under their skin.
A small number of patients (usually children) have a headache, discomfort, or fever for one to two days before the rash appears


Stage of rash:
Lesions appear on areas of painful, paresthesized, initially maculopapular, erythematous papules, 12-24 hours after erythema formation, these vesicles tend to aggregate into clusters, progressing Pustules before day 3 Lesions continue to form within 1-4 days (sometimes up to 7 days). After that, the blisters dry and close the concave heart and peel off gradually in 1-2 weeks.


Shingles And Common Clinical Symptoms

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Lesions are usually only on one side of the body, not through the midline and in the distribution area of a sensory nerve node (dermatome). Normally there are a few blisters on the opposite side, either because small branches of the nerve run over or sometimes there are some discrete blisters outside the area of the affected dermatome, which are like chickenpox lesions, because A few viruses spread along the bloodstream during reactivation.
The common site is in the trunk area corresponding to the distribution of the T3-L2 nerve node, in the face region corresponding to the trigeminal nerve, especially the eye branch.
Young people are healthy, the rash is usually mild and heals faster. While in the elderly, lesions are more widespread and soreness persists
In immunocompromised individuals, lesions may be accompanied by scattered lesions, such as chicken pox, may be lesions in many dermatomes or may be internal lesions (called disseminated shingles)
Regional lymph nodes: often swollen, painful.
In rare cases, shingles manifests itself only with soreness or sensory disorders without skin damage. Similarly, shingles can cause motor damage that causes paralysis of that muscle group. Then the diagnosis is even more difficult.


Shingles And Common Clinical Symptoms

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Most cases only get one disease, rarely recur.
KTV. KHONG VY.

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