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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In zoster (shingles), tingling, itching, or pain can precede the skin outbreak.
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Signs and Symptoms
Because the virus follows the nerve root to the skin, the appearance of shingles is very distinctive, located in the area of skin related to the affected nerve.

Steady or intermittent pain, itch, or burning starts a few days before any lesions are visible on the skin. These initial symptoms are followed by red, slightly raised bumps, which fill with fluid over 1–2 days and then rupture after 5–7 days, leaving sores on the skin that eventually form scabs that heal over a few weeks. These lesions are scattered irregularly along a band, or line, that follows the path of the nerve.

The trunk of the body is typically is affected, but shingles lesions can occur anywhere. When the face is affected, sometimes the eye is also affected.

The area affected by shingles is usually painful, but the level of pain can vary from mild to severe.
Last Modified: 29 Feb 2008
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