Herpes zoster symptoms?

summary

Herpes zoster is an acute infectious skin disease caused by varicella zoster virus. Chickenpox occurs in children who are not immune to the virus. Some patients become infected with the virus without symptoms. Herpes zoster symptoms? Let's talk about it

Herpes zoster symptoms?

Most of the clinical manifestations were mild fever, general discomfort, loss of appetite and burning sensation or neuralgia. In the early stage of the disease, patients often have local skin paresthesia, hypersensitivity, acupuncture, burning, itching, etc., most of which are located in the thoracolumbar region, and local lymph nodes can also be swollen and painful. Some patients also had mild fever, fatigue, headache and other systemic symptoms.

The rash began within 2-4 days, and the rash often occurred in the local skin paresthesia. The initial manifestation was erythema, and then a few hours later, a lot of banded papules appeared along the skin distribution area of one or more dorsal root ganglia on the basis of erythema, and then became typical blisters. The blister is about the size of mung bean. Its surface is smooth and similar to pearl. The blister wall is transparent, thick and tense, surrounded by a red halo. Several or more chickenpox clusters, several clusters can be connected into small pieces, the degree of skin between clusters is normal.

The pain in the affected area was severe. Most of the rashes were confined to one side of the body, not beyond the midline of the body; Occasionally spread to the other side of the skin and internal organs, but mainly in patients with low immune function. 5-8 days later, the contents of the blisters were slightly turbid, or partially ulcerated, local erosion and exudation, and finally dried and became infatuated. In the second week, the scab fell off, leaving no scar, but only light red spots or pigmentation for the time being. The course of the disease is about 2-4 weeks.

matters needing attention

Herpes simplex usually has a history of multiple recurrences at the same site, which does not occur in herpes zoster patients without obvious immune deficiency. The only reliable method for differential diagnosis is to isolate virus from blister fluid or detect VZV, HSV antigen or DNA.