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Dermatology: Shingles — Diagnosis and conservative treatment. Treatment abroad

Herpes zoster (shingles) is an infectious disease characterized by loss of skin and nerve tissue. 4 to 12 new cases per 100 thousand population are reported annually in different countries. The vast number of patients are people over 50 years old, who had suffered from chickenpox. The disease is fraught with development of severe complications for the nervous system, and therefore requires early treatment.

Diagnostics

The diagnosis is based on clinical symptoms. The patients report malaise and fever. The watery blisters in the form of strips appear on one side of the body or in different places. A characteristic feature of the rash becomes severe pain.

If the disease progress is untypical, the laboratory confirmation is possible. To this end, the physician takes a scraping from the affected skin, which is then sent for microbiological examination.

Treatment Methods

At early stages, shingles is treated on an outpatient basis. The primary goals of treatment are relief of acute symptoms and prevention of complications.

To combat the causative agent, various antiviral drugs are prescribed, such as

  • acyclovir, 
  • valacyclovir, 
  • famciclovir.

The drugs are administered according to the regimen prescribed by a physician until complete disappearance of lesions.

Pain is eliminated by:

  • NSAIDs,
  • Corticosteroids,
  • neural blockades (anesthetic or steroid solutions are injected into the peripheral nerves or the spinal canal).

The bubbles shall be treated with aniline dyes, antiviral or interferon ointments and gels with lidocaine.

Itching is eliminated by antihistamines. If the patient complains about inability to sleep, s/he shall be additionally prescribed sedatives or anxiolytics.

Some patients feel a good effect from physical treatments:

  • ultraviolet radiation,
  • laser therapy,
  • electrophoresis with novocaine,
  • ultrasound therapy.

A specific set of techniques is chosen by a physician individually.

Gangrenous and common forms of the disease are treated in hospitals. Along with antiviral drugs, the patients are prescribed angioprotectors, antibiotics and ganglioplegic drugs.

After rash removal, the patient should continue treatment with a neurologist.

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University Hospital of the Ludwig-Maximilians-University Munich

8.9/10 from 40 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of shingles #148557

The Department of Dermatology and Allergology has a dedicated team, which currently consists of 50 physicians as well as 300 nurses and medical technical assistants. Every year, it performs more than 90. 000 outpatient surgeries, and more than a half of these patients are new patients.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 2324.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Dermatology, Venerology and Allergology

Diagnosis and conservative treatment of shingles #224007

The Department of Dermatology, Venerology and Allergology offers the entire spectrum of conservative and surgical dermatology. A particular attention is given to the treatment of malignant skin tumors, as well as diagnosis and treatment of allergic and autoimmune skin diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 2122.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of shingles #87575

The Department of Dermatology and Allergology at the University Hospital Bonn offers the full range of treatment options for dermatological diseases. The daytime inpatient treatment includes such diseases as psoriasis, ulcers of the lower limbs, systemic sclerosis and atopic dermatitis.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Bonn

Price 2401.00

University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Dermatology and Allergology – Skin Clinic

Diagnosis and conservative treatment of shingles #105329

The clinical priorities of the Department of Dermatology and Allergology are allergic skin diseases such as eczema, urticaria (utricarial rash) and allergic drug reactions, occupational dermatology, wound healing, bullous skin diseases, psoriasis and as well as skin tumors, including melanomas, carc...


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Price 2104.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Dermatology and Venereology

Diagnosis and conservative treatment of shingles #77435

The Department and Polyclinic of Dermatology and Venereology of the University Hospital Cologne in Germany represents the field of Dermatovenereology in research, teaching and patient care. These comprise diseases of skin, including the visible mucous membranes and the so-called skin appendages (e.g. hair or nails).


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 2015.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Neurology

Diagnosis and conservative treatment of shingles #102391

As a part of the Department of Head, the Department of Neurology at the Heidelberg University Hospital maintains close cooperation with the Department of Neuroradiology as well as with the Department of Neurosurgery and forms the Neurology Center with these departments.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificatecertificate

Sana Hospital Duisburg

9.5/10 from 5 Votes

Department of Neurology and Early Neurological Rehabilitation

Diagnosis and conservative treatment of shingles #131295

The Department of Neurology and Early Neurological Rehabilitation at the Sana Hospital Duisburg deals with the diagnosis and treatment of diseases of the central and peripheral nervous system and muscular disorders.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Duisburg

Price 1854.00

Academic Hospital Hildesheim

9.5/10 from 23 Votes

Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of shingles #30245

The Department of Dermatology, Venereology and Allergology at the HELIOS Hospital Hildesheim offers the entire range of professional medical care for skin and sexually transmitted diseases, as well as allergology.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hildesheim

Price 1839.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Dermatology

Diagnosis and conservative treatment of shingles #81305

The Department of Dermatology at the University Hospital Dusseldorf offers treatment of all dermatological diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 2396.00

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

Department of Dermatology and Venerology

Diagnosis and conservative treatment of shingles #239747

The Department of Dermatology and Venereology at the University Medical Center Hamburg-Eppendorf deals with the treatment of the entire range of dermatological and venereal diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hamburg
certificate

Price 2384.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Dermatology

Diagnosis and conservative treatment of shingles #132801

The Department of Dermatology at the University Hospital Tubingen specializes in the research and treatment of skin diseases. The primary objective is to provide patients having various skin diseases with the best diagnosis and treatment in accordance with the latest medical standards.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Tuebingen

Price 1962.00

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of shingles #172441

Due to the use of the most modern methods of treatment, the Department successfully works in the field of prevention, diagnostics and treatment of various complex diseases: allergic and autoimmune diseases, eczema, psoriasis, acne, diseases, and sexually transmitted diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Wiesbaden

Price 1907.00

Leech Private Clinic

9.2/10 from 7 Votes

Department of Dermatology

Diagnosis and conservative treatment of shingles #99709

Dermatic therapy or the so-called dermatology requires a high sensitivity to changes of this largest human organ. Along with professional knowledge, the general medical standards include the appropriate experience and the goal-oriented preventive and recording methods.  .


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Austria
location_searchingCity: Graz

Price 2913.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Dermatology

Diagnosis and conservative treatment of shingles #255231

The Department of Dermatology at the University Hospital Erlangen is an internationally recognized Center of Excellence in diagnosis and treatment of skin diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

Price 1943.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of shingles #106991

The Department of Dermatology, Venereology and Allergology at the University Hospital Charite Berlin treats patients with dermatological diseases and allergies. The department is located at the Charite Mitte Campus and is staffed by highly qualified specialists, who test and treat all skin diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Berlin
certificate

Price 2913.00

Multispecialty Private Hospital PAN Clinic

9/10 from 14 Votes

Department of Dermatology

Diagnosis and conservative treatment of shingles #36085

The Department of Dermatology at the PAN Clinic on Neumarkt offers the entire spectrum of modern treatment methods in the field of dermatology, allergology, venerology, medical dermatocosmetology as well as dermatologic laser therapy.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 1815.00

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