What is Herpes Zoster(Shingles)?
Herpes Zoster or Shingles isa unilateral, inflammatory, vesicobullous eruption caused by a virus which attacks the posterior root ganglion and produces the skin eruption secondarily alone a cranial or spinal nerve.
Causes of Herpes Zoster:
Exposure to chicken pox, trauma both physical and mental, tumours of the cord, medicines like arsenic, lymphomas and carcinomas.
Symptoms :
- Pain with hyperaesthesia along the course of the nerve, and fever.
- There are several oedematous patches along the course of a nerve with intervening clear areas, these are very tender and painful. A few hours later, they are surmounted with small vesicles that may gradually enlarge to form bullae. The vesicles occur in crops. The contents become purulent. The regional glands are painful and tender. Each crop dries in a week. An attack lasts for 2-3 weeks. The rash is usually unilateral, rarely bilateral. The rash leaves behind pigmentation and scarring. Sites Thethoracic and lumbar dermatomes are most commonly affected. An eruption in the mandibular or maxillary distribution of trigeminal nerve is associated with oral, palatal and pharyngeal lesions. If the ophthalmic division is affected, there may be keratitis or uveitis, with vesicles in the nose. In the Ramsay-Hunt syndrome the geniculate ganglion is affected. Fain in the ear and throat is followed by vesicles in and around the external auditory meatus associated with lower motor neurone facial paralysis.
Management :
1. Calamine lotion applied several times a day.
2. Analgesics.
3.Antibiotics Systemically if there are signs of infection. Local application of an antibiotic ointment once the vesicles break down.
Herpes Zoster
Home remedies for Herpes Zoster
Aloe Vera, Lavender Oil, Tea Tree Oil, Bergamot oil
A two-stage treatment. First, apply the mixture described below to the blister. Once the blister has evolved into an ulcer or scab, apply aloe vera gel.
Mix 6 drops of tea tree oil, 6 drops of bergamot oil and 3 drops of lavender oil. Use a q-tip to gently apply to the red spot that precedes the blister, or to the blister, three times a day for two consecutive days. Do NOT apply to wet ulcers or scabs. After the blister stage, apply aloe vera gel three times a day until the sore has healed altogether (inlcuding the scab).
The blister and the scab will each disappear within two days instead of one week, i.e., the entire healing process will take four days instead of two weeks.
Shingles Pathophysiology
0 comments:
Post a Comment