Shingles, or herpes zoster, is caused by the same virus that causes chickenpox. After an episode of chickenpox, the virus becomes dormant in the body. Herpes zoster occurs as a result of the virus re-emerging after many years.
The typical rash appears in 2 to 3 days, after the virus has reached the skin. It consists of red patches of skin with small blisters (vesicles) that look very similar to early chickenpox. The rash often increases over the next 3 to 5 days. Then, the blisters break forming small ulcers that begin to dry and form crusts. The crusts fall off in 2 to 3 weeks, leaving behind pink healing skin.
Shingles usually resolves spontaneously, and may not require treatment except for symptomatic relief, such as pain medication. We may prescribe an antiviral medication to shorten the course, reduce pain, reduce complications or protect someone whose immune system is compromised.