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Duration: 2–4 weeks [2] Causes: Varicella zoster virus (VZV) [1] Risk factors: Old age, poor immune function, having had chickenpox before 18 months of age [1] Diagnostic method: Based on symptoms [3] Differential diagnosis: Herpes simplex, chest pain, insect bites, cutaneous leishmaniasis [4] Prevention: Shingles vaccine [1] Medication
Postherpetic neuralgia (PHN) is neuropathic pain that occurs due to damage to a peripheral nerve caused by the reactivation of the varicella zoster virus (herpes zoster, also known as shingles). PHN is defined as pain in a dermatomal distribution that lasts for at least 90 days after an outbreak of herpes zoster. [ 1 ]
Zostavax was shown to reduce the incidence of shingles by 51% in a study of 38,000 adults aged 60 and older who received the vaccine. The vaccine also reduced by 67% the number of cases of postherpetic neuralgia (PHN) and reduced the severity and duration of pain and discomfort associated with shingles, by 61%.
Preherpetic neuralgia is a form of nerve pain specifically associated with a Shingles (herpes zoster) viral infection. This nerve pain often precedes visible indications of a Shingles infection and consequently can be a key early indicator of a need to begin preventative anti-viral drug therapy.
Shingles, also called zoster or herpes zoster, is a viral infection that affects the nerves.
Herpes zoster ophthalmicus (HZO), also known as ophthalmic zoster, is shingles involving the eye or the surrounding area. Common signs include a rash of the forehead with swelling of the eyelid. There may also be eye pain and redness, inflammation of the conjunctiva, cornea or uvea, and sensitivity to light.
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An adhesive transdermal patch containing a 5% concentration of lidocaine in a hydrogel bandage, is approved by the US FDA for reducing nerve pain caused by shingles. [19] The transdermal patch is also used for pain from other causes, such as compressed nerves and persistent nerve pain after some surgeries.
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