In zoster (shingles), tingling, itching, or pain can precede the skin outbreak. The typical early onset of zoster (shingles) includes blisters in groups. The blisters often have a central depression. Typical of zoster (shingles), this image displays grouped blisters with central depressions in a red, band-like distribution. Grouped, depressed blisters on a red base are typical of zoster (shingles). This image displays blisters that are grouped in a band from the chest to the back but does not cross the middle of the body, which is typical of zoster (shingles). Shingles typically has numerous grouped, small and/or large blisters, as displayed in this image. This image displays zoster (shingles) with blisters that are crusting and starting to heal. This image displays healing zoster (shingles) with the bloody crusts from the blisters beginning to fall off, leaving small skin erosions. This image displays clear, fluid-filled blisters on a background of inflamed skin typical of early zoster (shingles). The varicella-zoster virus that causes shingles can cause scarring of the cornea of your eye.
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Shingles (Zoster):
Information for adults

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Picture of Shingles (Zoster): In zoster (shingles), tingling, itching, or pain can precede the skin outbreak. Divider line
In zoster (shingles), tingling, itching, or pain can precede the skin outbreak.
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Self-Care Guidelines
Seek medical attention first if you have shingles on the face or genital area, severe pain, or a weak immune system from any other illness.

Although shingles is usually a harmless problem that heals without medical care, call your doctor if you suspect shingles before following these self-care instructions:
  • Keep the area clean with a mild soap and water.
  • For pain, apply cool, damp compresses and use either acetaminophen or ibuprofen orally.
  • Apply Calamine lotion to relive itching.
  • Keep the area covered to protect others who have not had chickenpox (particularly younger children), as the blister fluid is mildly contagious.
When to Seek Medical Care
Call your doctor if you suspect shingles as there are medications that may speed healing if they are given within the first 48–72 hours after the rash appears.
Last Modified: 29 Feb 2008

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