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Article updated and reviewed by Cyrus Badshah, MD PhD, Assistant Professor of Clinical Medicine, College of Physicians and Surgeons, Columbia University; Assitant Attending Physician, Department of Medicine, Division of Infectious Diseases & Medical Director, Chest (TB)Clinic and Directly Observed Therapy Program, Harlem Hospital Center. Editorial review provided by VeriMed Healthcare Network on May 2,2005.

Shingles (or Herpes zoster - zoster for short) is a reactivation of a childhood chicken pox infection during adulthood. However, unlike the rash of chickenpox, which covers large parts of the body, the rash of shingles usually affects a small area of skin on one side of the body, appearing in rows like shingles on a roof.

Description of Shingles
A typical shingles rash follows the path of certain nerves on one side of the body - generally on the trunk, buttocks, neck, face or scalp - and usually stops abruptly at the midline. Shingles is common in the elderly and rarely seen ...more

There are several effective treatments for shingles. Drugs that fight viruses (antivirals), such as acyclovir (Zovirax), valacyclovir (Valtrex), or famciclovir (Famvir), can reduce the severity and duration of the rash if started early (within 72 hours of the appearance of the rash). In addition to antiviral medications, pain medications may be needed for symptom control. Both nonsteroidal anti-inflammatory medications and narcotic pain control medications may be used for pain management in shingles.

The affected area should be kept clean. Bathing is permitted, and the area can be cleansed with soap and water. Cool compresses and anti-itching lotions, such as calamine lotion, may also provide relief. An aluminum acetate solution (Burow's or Domeboro solution, available at your pharmacy) can be used to help dry up the blisters and oozing.