As of March 2018, an adjuvanted subunit total vaccine (containing glycoprotein E of the pathogen) has been approved for the prevention of herpes zoster (HZ) and postherpetic neuralgia (PHN) in persons 50 years of age and older. This has a high protective effect even in older age groups and, in addition to good safety, has … Shingles (Herpes Zoster): Prevention
Medical device diagnostics are not required.
The following symptoms and complaints may indicate herpes zoster (shingles): Prodromal stage (early phase of disease in which nonspecific symptoms occur; about 5 days): First, nonspecific general symptoms (fatigue, impaired performance, fever, and aching limbs) occur. Then local pruritus (itching) and paresthesias (sensory disturbances). Then appearance of typical zoster vesicles (herpetiform vesicles; centrally forked, usually … Shingles (Herpes Zoster): Symptoms, Complaints, Signs
Limiting sun exposure contributes to the prevention of polymorphous light dermatosis. Prophylaxis is of significant importance. By becoming accustomed to light by means of, for example, phototherapy to general light protection measures (sunscreens with a high sun protection factor (UV-A and UV-B protection), the wearing of caps/hats, etc.), the affected person can prevent or reduce … Polymorphous Light Dermatosis: Prevention
Pathogenesis (development of disease) Herpes zoster is a reactivation of the varicella zoster virus (synonyms: varicella zoster virus (VZV) – also spelled varicella zoster virus and referred to as human herpes virus-3), which has survived inconspicuously for many years in the area of the spinal and/or cranial nerve ganglia. Due to a weakened immune system, … Shingles (Herpes Zoster): Causes
The following symptoms and complaints may indicate polymorphous light dermatosis: Initially, itching occurs, followed by patchy redness of the skin. Thereafter, the following efflorescences (skin changes; skin bloom) may occur: Bullae (blisters) Papules (vesicles) Papulo-vesicle – a mixture of papule and vesicle (vesicle) represents. Plaques (areal or plate-like substance proliferation of the skin). Predilection sites … Polymorphous Light Dermatosis: Symptoms, Complaints, Signs
Pathogenesis (disease development) The exact cause of polymorphous light dermatosis is not known. In recent studies, it is thought that immune regulation is disrupted after UV exposure. About 75% of affected individuals have exclusive UV-A sensitivity. 15% show UV-A/B sensitivity. It has been observed that polymorphous light dermatosis also occurs from sun exposure behind window … Polymorphous Light Dermatosis: Causes
General measures Prophylactic measures (staged scheme according to progression): Light acclimation in spring/summer (about 75% of affected individuals have exclusive UV-A sensitivity, 15% show UV-A/B sensitivity). Sunscreen with broad-spectrum effect and sun protection factor 30-50 with the addition of antioxidants. In acute polymorphous light dermatosis: Sunscreen External (external) anti-inflammatory (anti-inflammatory) measures, corticosteroid creams if necessary. … Polymorphous Light Dermatosis: Therapy
Psoriatic arthritis (PsA) (synonyms: Arthritis mutilans psoriatica; Arthritis psoriatica; Arthritis psoriatrica; Arthritis and spondylitis in psoriasis; Arthropathia psoriatica; Arthropathia psoriatica n.e.c. ; Arthropathy in psoriasis n.e.c. ; distal interphalangeal psoriatic arthropathy; joint psoriasis; juvenile arthritis in psoriasis; osteoarthropathia psoriatica; psoriasis arthropathica; psoriatic arthropathy; psoriatic osteoarthropathy; spondylitis psoriatica; psoriatic arthritis; ICD-10 L40. 5: Psoriatic arthropathy) describes … Psoriatic Arthritis
Infectious and parasitic diseases (A00-B99). Infections with other viruses, such as herpes simplex virus or coxsackieviruses. Musculoskeletal system and connective tissue (M00-M99). Arteritis temporalis (synonyms: Arteriitis cranialis; Horton’s disease; giant cell arteritis; Horton-Magath-Brown syndrome) – systemic vasculitis (vascular inflammation) affecting the arteriae temporales (temporal arteries), especially in the elderly. Psyche – nervous system (F00-F99; G00-G99). … Shingles (Herpes Zoster): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by herpes zoster (shingles): Respiratory system (J00-J99) Pneumonia (pneumonia)/pneumonitis (esp. in immunosuppressed patients) – Note: typical skin changes show up only with a long latency of up to 14 days. Eyes and eye appendages (H00-H59). Zoster ophthalmicus (affects 10-20% of adult zoster … Shingles (Herpes Zoster): Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye) rash with formation of vesicles (zoster vesicles; also possible without efflorescence) in the affected dermatome/skin area, … Shingles (Herpes Zoster): Examination