Herpes Zoster

Herpes zoster, or shingles, is caused due to reactivation of the varicella-zoster virus (chickenpox). The virus causes a painful rash of small blisters on a part of skin anywhere on the body. On some occasions, there can be pain for a prolonged period of time even after the rash subsides.

Once a person has had chickenpox, the virus resides dormant in the nerves. If the virus gets reactivated later in life, it causes shingles. Herpes zoster is relatively more common in people with compromised immune systems or over the age of 50. It is very rare in children, and even then, the symptoms are mild as compared to adult.

However, Children who have depressed immune systems can experience the same, or severe, symptoms as adults.

Herpes zoster often occurs on the trunk and buttocks, but can also appear on the arms, legs, or face. The symptoms vary as per individual and each child may experience different symptoms. The commonly presenting symptoms may include skin hypersensitivity in the areas affected by herpes zoster.

Mild rash, that appears after five days and initially looks like small, red spots turn into blisters, which usually subsides over a week. The lesions are always unilateral in presentation owing to the involvement of specific nerve.

Diagnosis of herpes zoster is usually clinically obtained by a recent medical history of the child and performing a physical examination. Diagnosis may also include skin scrapings (gently scraping of the blisters to determine the virus type) and Blood tests.

Specific treatment plan for herpes zoster has to be determined by a physician based on the child’s age, systemic health, medical history, severity and extent of the condition and the child’s tolerance and compliance for specific drug regime and procedures as well as the expected outcome for the course of the disease. The Child or parent’s preference can also be taken into account while formulating a treatment plan.

Medication can only help in alleviating some of the pain, but the viral condition has to undergo its course. Immediate treatment with antiviral drugs may help to lessen some of the symptoms. Drug dosage and type of medication will be determined by a physician based on the age of the child or body surface area and the severity of the disease.

Consult our Doctor for treatment.

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