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The earliest symptoms of shingles, which include headache, fever, and malaise, are nonspecific, and may result in an incorrect diagnosis. [ 9 ] [ 20 ] These symptoms are commonly followed by sensations of burning pain, itching, hyperesthesia (oversensitivity), or paresthesia ("pins and needles": tingling, pricking, or numbness). [ 21 ]
Shingles What it looks like : Also known as herpes zoster, shingles is a blistering rash. It often appears in a stripe or in the top quadrant of the head, but only on one side of the body.
Prodromal symptoms that occur before the appearance of herpetic lesions help differentiate HSV symptoms from the similar symptoms of other disorders, such as allergic stomatitis. When lesions do not appear inside the mouth, primary orofacial herpes is sometimes mistaken for impetigo , a bacterial infection .
As the infection continues and the larvae mature, there may be respiratory symptoms (Löffler's syndrome). The infection may then become chronic with mainly digestive symptoms. There may be respiratory, skin, and digestive symptoms of reinfection (when larvae migrate through the body) from the skin to the lungs and finally to the small intestine.
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Postherpetic neuralgia (PHN) is neuropathic pain that occurs due to damage to a peripheral nerve caused by the reactivation of the varicella zoster virus (herpes zoster, also known as shingles). PHN is defined as pain in a dermatomal distribution that lasts for at least 90 days after an outbreak of herpes zoster. [ 1 ]
Early symptoms include intense pain in one ear, the jaw on one side or the neck on one side which may precede the acute facial paralysis by a week or more. Acute symptoms include: acute facial nerve paralysis; pain in the ear, jaw and/or neck; taste loss in the front two-thirds of the tongue; dry mouth and eyes
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