Does shingles leave scars?

Written by Zhu Zhu
Dermatology
Updated on January 30, 2025
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After shingles heal, in most cases, there are no scars left. Shingles typically cause symptoms such as blisters or rashes on the skin, which are mostly located in the epidermal layer of the skin and do not infect below the dermis. Therefore, once these blisters heal, they only scab over on the epidermal layer. After the scab falls off, the original skin regrows without any scarring. However, if the patient is prone to scarring, they are generally left with scars.

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Written by Zhu Zhu
Dermatology
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Does herpes zoster require a special diet?

During the course of shingles, it is definitely necessary to avoid certain foods. Firstly, one must abstain from smoking and alcohol, as they are very detrimental to the recovery from shingles. Secondly, it is essential to avoid certain stimulating and aggravating foods, such as seafood, beef, lamb, and spices like onions, ginger, and garlic. Lastly, while avoiding these foods, one should consume more nutritious foods such as apples, carrots, pork, lean meat, and milk.

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Written by Zhu Zhu
Dermatology
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How is herpes zoster diagnosed?

The diagnosis of herpes zoster is primarily based on clinical symptoms. First, the skin lesions appear as clusters of vesicles, which are distributed in a band-like pattern along one side of peripheral nerves. Second, there is significant neuralgia accompanied by swelling of the local lymph nodes. Third, the skin in the middle is normal. If these three clinical symptoms are present, it can generally be confirmed as herpes zoster.

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Dermatology
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Does shingles itch?

Shingles most often leads to the formation of long blisters or herpes, accompanied by significant pain, which is the experience of most patients. However, a minority of people may not feel significant pain but instead experience itching. This is also a manifestation of the inflammation caused by shingles. Therefore, some patients with shingles feel itchy. Both itching and pain require timely antiviral treatment, along with medication that nourishes the nerves.

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Written by Xie Ming Feng
Dermatology
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herpes zoster symptoms

The symptoms of herpes zoster primarily manifest as irregular erythema on certain parts of the body's skin, followed by clusters of rice-grain or mung bean-sized raised vesicular rash, blisters, and blood blisters. These rashes generally appear on one side of the body, not crossing the body's midline, and are accompanied by local sensations of burning, scalding pain, stabbing pain, numbness, itching, and other abnormal neural sensations.

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Written by Zhu Zhu
Dermatology
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Can you have sexual intercourse with herpes zoster?

Firstly, it is advised not to have sexual intercourse during an episode of shingles to avoid cross-infection and aid recovery. Humans are the only hosts for the varicella-zoster virus, which can enter the body through respiratory and oral tracts, genital mucosa, saliva, and skin, and lies dormant in human mucosa, blood, saliva, spinal cord, posterior nerve roots, and sensory ganglia cells. People with acute shingles need to seek prompt medical diagnosis to avoid missing the optimal treatment window and delaying the condition. The treatment principles mainly include antiviral therapy, infection control, pain relief, and aiding scab formation. Typically, proper recovery from shingles is expected within seven to ten days in a standard hospital, and this helps in reducing the occurrence of postherpetic neuralgia.