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

8.9/10 from 40 Votes

Diagnosis and conservative treatment of shingles

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

University Hospital Wurzburg

9.2/10 from 38 Votes

Diagnosis and conservative treatment of shingles

The Deaprtment of Dermatology, Venereology and Allergology offers a full range of conservative and operative dermatology. The main directions are the treatment of malignant tumors of the skin, diagnostics and treatment of allergic and autoimmune skin diseases.


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

Price 2096.00

University Hospital Bonn

8.6/10 from 150 Votes

Diagnosis and conservative treatment of shingles

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 2105.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Diagnosis and conservative treatment of shingles

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

Price 1844.00

University Hospital Cologne

8.3/10 from 82 Votes

Diagnosis and conservative treatment of shingles

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 1965.00

Hospital Hildesheim

9.5/10 from 23 Votes

Diagnosis and conservative treatment of shingles

Services of the clinic include all kinds of treatment of skin and venereal diseases....


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

Price 1861.00

University Hospital Halle (Saale)

9.5/10 from 78 Votes

Diagnosis and conservative treatment of shingles

The range of clinical services of the Department of Dermatology and Venereology covers all skin and sexually transmitted diseases. In addition to general dermatology, the main focuses of the Department include oncologic, allergic and surgical dermatology.


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

Price 2063.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Diagnosis and conservative treatment of shingles

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 2373.00

UKGM Gießen

9.5/10 from 35 Votes

Diagnosis and conservative treatment of shingles

The department of dermatology, venereology and allergology treats patients with skin diseases and allergy symptoms.


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

Price 1782.00

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

Diagnosis and conservative treatment of shingles

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

Price 2834.00

University Hospital Tubingen

9.2/10 from 55 Votes

Diagnosis and conservative treatment of shingles

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 2014.00

DKD HELIOS Klinik Wiesbaden

9.2/10 from 5 Votes

Diagnosis and conservative treatment of shingles

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 1910.00

Privat Hospital Leech

9.2/10 from 7 Votes

Diagnosis and conservative treatment of shingles

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 2853.00

Charite University Hospital Berlin

9/10 from 95 Votes

Diagnosis and conservative treatment of shingles

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

Price 2859.00

University Hospital Heidelberg

9/10 from 57 Votes

Diagnosis and conservative treatment of shingles

The Department of Dermatology at the Heidelberg University Hospital is a national recognized Center for Oncological Dermatology. It is the first Department of Dermatology in Germany, which was awarded an official high-quality mark of the certified Skin Cancer Center.


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

University Hospital Erlangen

9/10 from 51 Votes

Diagnosis and conservative treatment of shingles

Dermatological Clinic at Erlangen University Clinic is an internationally recognized center of high competence for diagnostics and treatment of skin diseases. With advanced world level of knowledge, every year it treats more than 3,000 inpatients (46 night and 10 day inpatient beds), and almost 30,000 outpatients.


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

Price 2426.00