Is herpes zoster prone to recurrence?

Written by Zhu Zhu
Dermatology
Updated on September 04, 2024
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After recovery from herpes zoster, it is not easy for the condition to recur. Herpes zoster is a disease caused by the reactivation of the varicella-zoster virus, which infects the human body and lies dormant in the nerve roots, particularly when the immune system is weakened. Therefore, after recovery from herpes zoster, patients generally do not suffer from it again and can obtain long-lasting immunity. However, clinically, there are indeed some herpes zoster patients who experience recurrent episodes. This often directly relates to a decline in the patient's own immune resistance. Patients with underlying diseases, those who are chronically tired or fatigued, or those using immunosuppressive drugs, are prone to recurrent episodes of herpes zoster. Thus, while it is not easy for herpes zoster to recur, it is not absolutely non-recurrent.

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Written by Yu Gang
Dermatology Department
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Is herpes zoster the same as chickenpox?

Herpes zoster is caused by the varicella-zoster virus. Typically, this virus causes chickenpox in children, but in adults, it manifests as herpes zoster, which is unrelated to chickenpox. The herpes zoster virus primarily attacks the nerves, causing neuralgia. Therefore, it is generally recommended to rest, consume a light diet, and avoid spicy foods, seafood, and rich foods. Treatment usually involves the use of acyclovir and valacyclovir for topical application. Oral nutritional supplements for the nerves, such as vitamin B1 and B12, and spleen peptides to enhance the body's immunity, are also recommended. It is important to rest and pay attention to these aspects. It is best to visit a local dermatologist for a proper diagnosis.

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Written by Zhu Zhu
Dermatology
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What is shingles?

Herpes zoster is a viral skin disease, and humans are the only hosts for the varicella-zoster virus. Therefore, the virus can easily enter the bloodstream through the respiratory tract mucosa, leading to viremia, and consequently causing chickenpox or presenting as a latent infection. The virus can lie dormant for long periods in our ganglia or nerve roots. When the body is stimulated again, leading to a decrease in resistance, the dormant virus can be activated, which may result in herpes zoster.

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Written by Zhu Zhu
Dermatology
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How is herpes zoster transmitted?

Shingles is caused by the activation of the varicella-zoster virus that lies dormant in the nerve roots, affecting both the skin and nerves. There are several ways shingles can spread, mainly through direct contact or droplet transmission. Direct contact transmission primarily occurs because the blister fluid in shingles blisters contains a high concentration of the virus. Therefore, before the blisters of a person with shingles are completely dry, they are somewhat contagious, primarily affecting those with lower resistance such as the elderly, children, women of childbearing age, pregnant women, and so on.

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Written by Yu Gang
Dermatology Department
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How long does herpes zoster take to heal?

The healing time for shingles varies from person to person; generally, younger people recover faster, while older individuals take longer. Treatment typically includes oral antiviral medications like famciclovir and acyclovir, as well as nutrients for nerve health such as vitamins B1 and B12, along with oral traditional Chinese medicine and acupuncture. However, if it progresses to postherpetic neuralgia, the condition tends to heal more slowly. Postherpetic neuralgia can only alleviate pain but is generally difficult to cure completely.

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Written by Zhu Zhu
Dermatology
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How long is the incubation period for herpes zoster?

Shingles is a common dermatological disease primarily caused by the varicella-zoster virus. Shingles has an incubation period, but the duration is uncertain, generally ranging from 3 to 20 days. The reason the incubation period for shingles is variable is that after being infected with the varicella-zoster virus, it accumulates in the nerves of the spinal cord and does not exhibit any symptoms physiologically. The virus only begins to proliferate rapidly and triggers the disease when the body's resistance decreases, or in the event of an infection, a cold, or fatigue.