Some common skin diseases - Shingles

Shingles is caused by a virus tropism causes neurological organization, pathogenic strains Varicella zoster virus in humans, childhood virus that causes chickenpox, transmission occurs by contact, virus infiltration through respiratory contagious so be admitted, at the same time there are many children, in adults infected with the virus first discovered and chickenpox, we found that children with chickenpox after contact with a person with shingles.
After primary infection, the virus nerve sensation to reside in the ganglia and the underlying feeling there. When conditions are favorable, such as body weakness, sepsis, metabolic disorders, blood disorders, .... especially in people with weakened immune systems, the virus reactivation in sensory nerve ganglion nerves and the skin feeling. Thus, virus damage sensory ganglia, nerves that pass through the skin and nerves because it dominates.

SYMPTOMS

Injury is the basis of shingles blisters, blisters nature:


- In the beginning was the red inlaid edge slightly higher in the skin, then the blisters appear as small particles panels, green peas separately or linked together into clumps, the wound strip under the direction of the nerve Business

- The blisters can become concentrated bullous irregular coast, often tense blisters on the skin and inflammation of the skin around the red background

- Translation vesicular and bullous initially opaque gradually by applying the following bacterial infection

- You can see the secondary damage such as slip, ulcers, discharge from bullous rash, or put themselves falling apart, when dry scaly lesions thick details

The neighborhood nodes skin lesions are often painful swelling inflammation. Location hurt in any skin area of ​​the body, but usually at half of the body (played by effects from sensory ganglia). Injury can spread throughout the body, symmetry in patients with weakened immune systems (especially in people with HIV)

+ Function Symptoms: Pain is a common symptom in patients with shingles, pain in the following stages:

- Before floating skin lesions; patients with pain and burning sensation in the skin, sometimes deep pain, sore, tired

- When there is damage to the skin: pain in skin lesions, pain, sore, such as tingling, or pain in the lymph nodes surrounding deep visceral pain, shingles pain of the head and face often than others, older people pain more, the pain lasted for the duration of illness

- When skin lesions healed but still pain patients, in addition can be seen burning or itchy skin lesion or dysfunction in the skin feeling this

3. PROGRESS AND COMPLICATIONS

The disease is usually benign, from 2 to 3 weeks, dry skin lesions, desquamation, can lead to scarring, functional symptoms decrease and off, for the elderly or dense lesions localized in the skin the symptoms can persist for years after healing of skin lesions.

The majority of infected cases only one time, rarely relapse, recurrence rate is <1%. Common complication is infection site pustules are formed deep ulcers, commonly seen in the elderly resistance decline or improper treatment, self-bullous and cut down the leaves make up for these infections . There may be a corneal ulcer, or damage papilledema, if the shingles lesions in the cornea (or the skin near the fovea)

4. Treatment

+ Spot:

- When the injury is not broken then put ointment form of lakes, ice cream, such as acyclovir cream, the lesion slither, drainage, then apply an antiseptic such as methylene blue 2%

+ Body:

- Antibiotics antivirus: Acyclovir 200 mg / 1 x 5 times / day. Time to drink from 7 to 10 days, 800 mg may / times for the elderly or severe cases

- Antibiotics fight infections: Tetraxylin, Erythromycin ....

- Reduce pain, sedation
 1. BASIS OF NATURAL AND Pathophysiology