What are the signs and symptoms of herpes zoster (shingles)?

Updated: Feb 15, 2019
  • Author: Wayne E Anderson, DO, FAHS, FAAN; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Herpes zoster (shingles)

  • The most common presentation is the shingles vesicular rash, which most commonly affects a thoracic dermatome

  • After a prodromal illness of pain and paresthesias, erythematous macules and papules develop and progress to vesicles within 24 hours

  • The vesicles eventually crust and resolve

  • Pain and sensory loss are the usual symptoms

  • Motor weakness also occurs and is frequently missed on examination

  • Cases of actual monoplegia due to VZV brachial plexus neuritis have been reported


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