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Shingles (herpes zoster) is an outbreak of rash or blisters on the skin that is caused by the same virus that causes chickenpox — the varicella-zoster virus. The severity and duration of an attack of shingles can be significantly reduced by immediate treatment with antiviral drugs, which include acyclovir, valcyclovir, or famcyclovir. In 2006, the Food and Drug Administration approved a VZV vaccine (Zostavax) for use in people 60 and older who have had chickenpox. A person with a shingles rash can pass the virus to someone, usually a child, who has never had chickenpox, but the child will develop chickenpox, not shingles. AboutWe are a wife & husband team of physicians who have trained and taught at some of the top medical schools in the country including Harvard, Johns Hopkins and Washington University in St. Our mission is both a journalistic and educational one: by reporting on common diseases affecting uncommon people, and including the medical facts behind the headlines, we provide a dynamic collection of Teachable Moments in Medicine™ to increase health awareness and medical knowledge. We give you the medical facts behind Hollywood's health headlines plus information that empowers you to achieve your health and wellness goals. Bacterial Diseases (impetigo, boils): To be considered “non-contagious,” all lesions must be scabbed over with no oozing or discharge and no new lesions should have occurred in the preceding 48 hours. Tinea Lesions (ringworm on scalp or skin): Oral or topical treatment for 72 hours on skin and oral treatment for 14 days on scalp.
HIV or Human immunodeficiency Virus is the virus causing the much dreaded disease called AIDS (Acquired Immunodeficiency Syndrome) which is a syndrome that compromises the ability of the human body to fight against diseases.
If the HIV infection is not diagnosed in the initial few weeks, the chances are more that it will be diagnosed only when it becomes full-blown AIDS.
As said above, a person infected with HIV has poor ability to fight against many diseases which are easily overcome by people with normal immune system. It is a viral infection in adults caused by the virus which causes chicken pox in children. This is a type of cancer seen in AIDS patients which begins as brown, purplish or red skin lesions which darken and become numerous in later stage. As HIV is a disease of the immune system, there are changes in the system that makes a person allergic or hypersensitive to substances which didn’t bother him before, like sunlight and chemicals. Usually the HIV rashes are maculopapular which gives a red hue to the skin with small elevations on it.
The Herpes simplex rash which occurs concomitantly in a HIV patient during early stages is similar to that of Herpes simplex in normal people. Picture 6: Herpes zoster rash showing cluster of fluid filled vesicle on an erythematous base. Commonly the rashes appear on upper body, shoulder, face and chest, sometimes on feet and hand.


The rash appears in the limbs and upper body in children while it is present in inner aspect of thigh, abdomen and genitals suggesting that it is transmitted sexually. Rash caused by herpes simplex 1 is found around the mouth and lips and herpes simplex2 causes rash in the genitals.
Rashes caused by Anti retroviral drugs are present in the upper body and in the limbs near the body.
The HIV rash which is appears within 6 weeks of exposure to the virus lasts for few weeks and resolve spontaneously. The rashes caused by Anti – HIV medications range from mild to severely life threatening.
In case of rashes caused by medication, it can be discontinued and another group of drug can be tried.
Louis Cardinal manager, Tony La Russa, will miss the rest of the the Cardinal’s road trip after being diagnosed yesterday, at the Mayo Clinic in Arizona, with a case of shingles .
The first sign of shingles is often burning or tingling pain, or sometimes numbness or itch, in one particular location on only one side of the body. Antiviral drugs may also help stave off the painful after-effects of shingles known as postherpetic neuralgia. For primary (first episode of Herpes Gladiatorum), wrestlers should be treated and not allowed to compete for a minimum of 10 days. On entering the human body, the virus starts attacking the policemen of our body, the lymphocytes, particularly T helper cells (CD4 cells).
One has to keep in mind that, rash is a symptom nearly as common as fever and should not jump into conclusion based on rash, that they have got HIV until they get tested positive. Being one among them, almost all HIV infected people experience skin changes at some stage of the disease and rash is the most common skin manifestation of HIV. These diseases are mostly seen among HIV patients and in some other conditions that cause poor immune status like diabetes and are called opportunistic infections.
In most conditions, patients with HIV have previous history of exposure to Herpes simples which gets reactivated. But in people with HIV, the rashes take awfully longer duration to get cured and have more chance of recurrence.
The mild rash appears within 2 weeks of using the medications and they disappear within weeks without any treatment. So, it is important for people with high risk of acquiring HIV and for individuals who have been diagnosed with HIV, not to ignore the subtle and confusing symptoms like rash and fever. Initially diagnosed in mid-April as conjunctivitis (pink eye), the 66-year-old eventually had swelling of the entire right side of his face.


After several days or a week, a rash of fluid-filled blisters, similar to chickenpox, appears in one area on one side of the body.
Other treatments for postherpetic neuralgia include steroids, antidepressants, anticonvulsants, and topical agents.
Though they commonly affect wrestlers, they can also be problematic for any sport which involves the use of bathing or locker facilities.
If new lesions continue to develop or drain after 72 hours, MRSA (Methicillin Resistant Staphylococcus Aureus) should be considered. If general body signs and symptoms like fever and swollen lymph nodes are present, that minimum period of treatment should be extended to 14 days. Individuals should always consult a licensed and qualified health care provider for recommendations regarding their specific concerns.
As the symptoms resemble the common cold, it is important to know about the rash and other symptoms of early HIV infection to find it in the budding stage and differentiate it from the numerous other diseases which present with a rash.
The rashes which are caused by opportunistic infections and drugs in the later stage of HIV infection are associated with itching. But very rarely some medication like Nevirapine causes serious skin lesions like Steven Johnson Syndrome and toxic epidermal necrolysis and affects at least 30% of the total surface area of the skin and may cause death [1, 2]. Every medical decision and medication should be taken only after consultation with a clinician. Recurrent outbreaks require a minimum of 120 hours or five full days of oral anti-viral treatment, again so long as no new lesions have developed and all lesions are scabbed over.
Sometimes, a rash which is not itchy initially may begin to itch after taking a faulty medication.
She was a medical internet pioneer having established one of the first medical practice websites in 1997.
So it is necessary to consult a clinician immediately after the appearance of a rash to find the cause and treat it accordingly.
And in people who still got the disease despite immunization, the severity and complications of shingles were dramatically reduced.



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