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    Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook140 pages1 hour

    Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Herpes zoster or Shingles is a disorder where a crop of blisters produced by the varicella zoster virus form a band across one side of the chest, abdomen or face.
    The same virus that causes chicken pox causes shingles.
    Basically it is an extreme form of chickenpox disease.
    The name of virus that causes Shingles is Herpes Zoster Virus.
    The chickenpox virus stays in a dormant state in certain nerve cells of the body from months to many years, and then reactivates producing herpes zoster.
    This infection is because of a temporary reduction in the body's resistance permitting the virus to start multiplying and to travel along nerve fibers towards the skin.
    Herpes zoster can occur to anyone who has had chickenpox.
    If a person has had chickenpox, he or she could get Herpes zoster at any time.
    There is no way to find out if or when the person will get it or how severe the case could be.
    Herpes zoster is very dangerous for the health of newborn in case of pregnancy.
    The rash is not the first definite sign of Herpes zoster.
    The person may sense an itching, tingling, burning, or pain in a specific area on one side of the body or face.
    The first symptom is a burning pain or tingling and excess sensitivity in one area of the skin.
    This may exist for one to three days before a red rash occurs.
    Herpes zoster may or may not have blisters formation.
    The blisters in case of Herpes zoster increase in a regular pattern.
    The group of blisters then forms on a red base which looks like chicken pox lesions.
    The blisters normally last for two to three weeks, during which time they collect pus and then crust over and begin to go away.
    Herpes zoster can be a painful, blister forming rash.
    The Herpes zoster rash normally affects only one of the nerves of the body.
    The painful rash most often extends along one side of the body in a band.
    This band is called a dermatome which is the area supplied by one of the nerves from the spinal cord connects with the skin.
    The rash can last up to 30 days.
    For those people who feel the initial tingle, burning, itch or pain, the rash normally occurs on the skin in the same area.
    Some people may have complications that persist after the rash has healed, like permanent scarring or changes to the color of the skin, or nerve pain that may last for months or even years.
    In very rare cases, loss of hearing or vision impairment can happen when Herpes zoster affects the ear or eye respectively.
    The Herpes zoster rash can cause severe, stabbing pain.
    Some people may form long-term nerve pain, meaning that pain can last for months or even years after the rashes have recovered.
    This is called post-herpetic neuralgia, or PHN.
    The diagnostic findings are particularly, the typical site and appearance of the skin eruption in link with localized pain.
    Laboratory Studies
    Polymerase chain reaction (PCR) testing of vesicular fluid, a corneal lesion, or blood
    Tzanck smear of vesicular fluid (lower sensitivity and specificity than PCR)
    Detection of VZV DNA in plasma can confirm the early recognition of VZV infection in immunocompromised hosts.
    Treatment:
    The most frequent treatments for herpes zoster are:
    1. Antiviral medicines, such as acyclovir, famciclovir, or valacyclovir, to reduce the pain and the duration of herpes zoster.
    2. Over-the-counter pain medicines, such as acetaminophen, aspirin, or ibuprofen, to help reduce pain during an attack of herpes zoster.
    3. Topical antibiotics applied directly to the skin to stop infection of the blisters.
    4. For severe cases of herpes zoster, some doctors may have their patients use oral corticosteroids.
    5. Antidepressant in case of depression and pain
    The pain can be also relieved with cold and rest

    TABLE OF CONTENT
    Introduction
    Chapter 1 Herpes Zoster
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosi

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 22, 2017
    ISBN9781370112616
    Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Herpes Zoster, (Shingles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Herpes Zoster,

      (Shingles)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Herpes Zoster, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Herpes Zoster)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank the patient for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Herpes Zoster (Shingles)

      For the past 3 weeks I have 2 patients with herpes zoster both on the left side of the upper back which started as a small rash that becomes painful and extended down to the front of the chest.

      Shingles is a very painful condition that causes painful skin blister that spread in a band across one part of the chest abdomen and face.

      It is a bit of a pity because there is a vaccine called Zostavax which has been developed since 2006 and recommended for use for people above the age of 50 which can stop the formation of shingles or reduce the severity by 70%.

      Unfortunately the cost of the vaccine is quite high so very few patients (so far 2 only in my clinic) who have been vaccinated.

      What is Herpes Zoster?

      Herpes zoster or Shingles is a disorder where a crop of blisters produced by the varicella zoster virus form a band across one side of the chest, abdomen or face.

      The same virus that causes chicken pox causes shingles.

      Basically it is an extreme form of chickenpox disease.

      The name of virus that causes Shingles is Herpes Zoster Virus.

      The chickenpox virus stays in a dormant state in certain nerve cells of the body from months to many years, and then reactivates producing herpes zoster.

      This infection is because of a temporary reduction in the body's resistance permitting the virus to start multiplying and to travel along nerve fibers towards the skin.

      Herpes zoster can occur to anyone who has had chickenpox.

      If a person has had chickenpox, he or she could get Herpes zoster at any time.

      There is no way to find out if or when the person will get it or how severe the case could be.

      Herpes zoster is very dangerous for the health of newborn in case of pregnancy.

      Who is at risk of Herpes zoster?

      About 1 in 10 people who had chickenpox as children will form herpes zoster as adults.

      Yearly more than a million people suffer from Herpes zoster.

      1 in 3 people will suffer from this disorder in their lifetime.

      Old people are affected more by this disease than the younger ones.

      As a person gets older, the risk of getting Herpes zoster becomes higher.

      The disease happens in:

      1. More often older people (over 50 years old) because the immune response is thought to be weaker in older people.

      2. Trauma or possibly stress may also add to a possible attack of herpes zoster.

      3. Weakened Immune system people such as:

      a. Those with cancer, e.g. Leukemia, lymphoma, undergoing chemotherapy or radiation therapy for cancer,

      b. Patients with organ transplants and taking drugs to ward off transplant rejection and

      c. Patients with diseases that reduces the immune system e.g. AIDS.

      What is the Symptoms of Herpes zoster?

      Symptoms:

      Recognition of Herpes zoster in initial stages helps the doctors to advise on the medication for pain relief for a longer period of time.

      The rash is not the first definite sign of Herpes zoster.

      Before the rash ever occurs on the skin, there may be indications that Herpes zoster is coming.

      The person may sense an itching, tingling, burning, or pain in a specific area on one side of the body or face.

      The first symptom is a burning pain or tingling and excess sensitivity in one area of the skin.

      This may exist for one to three days before a red rash occurs.

      Herpes zoster may or may not have blisters formation.

      The blisters in case of Herpes zoster increase in a regular pattern.

      The group

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