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Dermatology: Shingles — Diagnosis and conservative treatment. Treatment

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.

Read more
 

See also

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of shingles #177799

The Department of Dermatology and Allergology is a part of the university hospital Klinikum rechts der Isar. The Department treats all skin and allergy diseases.


location_onCountry: Germany
location_searchingCity: Munich
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Berlin

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

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.


location_onCountry: Germany
location_searchingCity: Krefeld

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

9.2/10 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.


location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Dermatology and Venereology

Diagnosis and conservative treatment of shingles #77435

The Department of Dermatology and Venereology treats skin diseases, including diseases of the visible mucous membranes and the so-called appendages of the skin (hair, nails).


location_onCountry: Germany
location_searchingCity: Cologne
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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.


location_onCountry: Germany
location_searchingCity: Wiesbaden

PAN Clinic Cologne

9/10 from 14 Votes

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.


location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of shingles #75175

The Department of Dermatology, Venereology and Allergology provides a wide range of medical services and all the options of modern highly effective medicine in the field of diagnostics and therapy of all types of dermatological diseases.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Adult and Pediatric Dermatology, Venereology

Diagnosis and conservative treatment of shingles #357546

The Department of Adult and Pediatric Dermatology, Venereology offers the full range of services in the relevant medical fields. The department specializes in the diagnostics and treatment of skin diseases of any complexity, as well as sexually transmitted diseases.


location_onCountry: Germany
location_searchingCity: Berlin

University Hospital Muenster

9.8/10 from 78 Votes

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.


location_onCountry: Germany
location_searchingCity: Muenster
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Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

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.


location_onCountry: Germany
location_searchingCity: Munich

Clinic Dr. Brenner Bonn

9/10 from 23 Votes

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.


location_onCountry: Germany
location_searchingCity: Bonn

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 Academic Hospital Hildesheim offers the whole spectrum of treatment of skin and venereal diseases, as well as allergology.


location_onCountry: Germany
location_searchingCity: Hildesheim
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University Hospital Duesseldorf

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.


location_onCountry: Germany
location_searchingCity: Duesseldorf
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University Hospital Giessen UKGM

9.5/10 from 35 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of shingles #131263

The Department of Dermatology and Allergology at the University Hospital Giessen specializes in the diagnosis and treatment of skin conditions and allergies. The Department uses all state-of-the-art diagnostic and therapeutic methods for both examination and treatment of these diseases.


location_onCountry: Germany
location_searchingCity: Giessen
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