Shingles Flashcards
1
Q
What is the common presentation of shingles and what causes it?
A
Caused by the varicella-zoster virus which damages a particular nerve (Therefore, it is a peripheral neuropathy) causing a painful band shaped rash that commonly affects 1-2 adjacent dermatomes
2
Q
What should you do if someone has a multidermatomal or bilateral presentation of shingles?
A
They may be immunocompromised, should test for HIV
3
Q
Where can the herpes/varicella zoster virus stay dormant?
A
In the dorsal root ganglion
4
Q
How is shingles treated?
A
Aciclovir - within 72 hours of symptom onset
Topical capsaicin - overpowers the pain receptors (gait theory of pain)
