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Dermatology: Shingles — Diagnosis and conservative treatment. Treatment

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University Hospital Rechts der Isar Munich

10/10 from 70 Votes
location_onGermany, Munich
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Department of Adult and Pediatric Dermatology, Allergology

Diagnosis and conservative treatment of shingles #177799

The Department of Adult and Pediatric Dermatology, Allergology offers the full range of services in this medical field. It diagnoses and treats all skin diseases, allergic reactions, for example, psoriasis, neurodermatitis, chronic wounds and skin cancer.

Include:
people Interpreter up to 5 hours
list Translation of medical documents up to 4 pages
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book Insurance against increased costs in case of complications with a cover of 200,000 €

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

Department of Neurology with a Treatment Center of Acute Disorders of Cerebral Circulation and Epilepsy

Diagnosis and conservative treatment of shingles #338208

The Department of Neurology with a Treatment Center of Acute Disorders of Cerebral Circulation and Epilepsy treats the entire spectrum of diseases of the central and peripheral nervous system and also treats  strokes and epilepsy.

Bundeswehr Academic Hospital Berlin

10/10 from 34 Votes
location_onGermany, Berlin

Department of Neurology

Diagnosis and conservative treatment of shingles #405124

The Department of Neurology offers the full range of services in this medical field. The areas of specialization include diagnosis and treatment of various acute and chronic diseases of the central and peripheral nervous system, ranging from inflammatory diseases of the central nervous system and en...

PAN Clinic Cologne

9/10 from 14 Votes
location_onGermany, Cologne
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Department of Dermatology

Diagnosis and conservative treatment of shingles #36085

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

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes
location_onGermany, Munich
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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.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Neurology with Stroke Unit

Diagnosis and conservative treatment of shingles #359038

The Department of Neurology with Stroke Unit offers the full range of services in this medical focus. It offers high-quality diagnostics and treatment of diseases of the central and peripheral nervous system.

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes
location_onGermany, Wiesbaden

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.

Charite University Hospital Berlin

9/10 from 95 Votes
location_onGermany, Berlin
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Department of Neurology

Diagnosis and conservative treatment of shingles #108167

The Department of Neurology at the University Hospital Charite provides treatment of the full range of neurological disorders.  The department specializes in the treatment of stroke, hemorrhages, blood clots, meningoencephalitis and autoimmune diseases of the central nervous system.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Dermatology and Venereology

Diagnosis and conservative treatment of shingles #382430

The Department of Dermatology and Venereology offers the full spectrum of services in these medical focuses. The department specializes in the diagnostics and treatment of all skin diseases, allergies and sexually transmitted diseases.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes
location_onGermany, Hamburg

Department of Neurology

Diagnosis and conservative treatment of shingles #357009

The Department of Neurology offers the full range of services in this medical field. The department specializes in the diagnostics and treatment of all diseases of the brain and spinal cord, peripheral nervous system and muscles. It provides comprehensive diagnostic and therapeutic services of the highest quality.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Neurology

Diagnosis and conservative treatment of shingles #75655

According to the Focus magazine rating of 2017, the Department of Neurology ranks among the top German departments specializing in the treatment of multiple sclerosis and Parkinson's disease! The department has comprehensive capabilities for the treatment of neurologic diseases on both an i...

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich

Department of Neurology, Neurophysiology and Neuropsychology

Diagnosis and conservative treatment of shingles #153837

The department of neurology, neurophysiology and neuropsychology, numbering 81 beds, diagnoses and treats patients with acute and chronic diseases of the entire neurological spectrum using modern medical achievements.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Dermatology and Venereology

Diagnosis and conservative treatment of shingles #137723

The Department of General Dermatology and Venereology at the University Hospital Muenster offers the full range of medical focuses in dermatology. The Department ranks among the largest clinics in Germany dealing with the treatment of congenital and acquired skin diseases.

University Hospital Saarland Homburg

9.8/10 from 28 Votes
location_onGermany, Homburg

Department of Neurology

Diagnosis and conservative treatment of shingles #395691

The Department of Neurology offers the full range of services in this medical field. It treats all neurological diseases at the most modern international level using the very latest scientific achievements.

Clinic Dr. Brenner Bonn

9/10 from 23 Votes
location_onGermany, Bonn

Department of Dermatology, Phlebology, Plastic Surgery

Diagnosis and conservative treatment of shingles #320569

The Department of Dermatology at the Clinic Dr. Brenner offers a wide range of medical services in the treatment of skin diseases.

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Dermatology

Diagnosis and conservative treatment of shingles #394154

The Department of Dermatology offers the full spectrum of services in this medical focus. The department specializes in the diagnosis and treatment of skin diseases.

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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