Herpes zoster Shingles

• Facts:
  Reactivation of varicella zoster virus
• History / PE:
  Prodrome
  Pain along affected sensory nerve (precedes rash by 48hrs)
  
  Rash
  Pruritic "teardrop" vesicular rash, dermatomal distribution
• Treatment:
  Analgesics
  Acyclovir
• Complications:
  Post-herpetic neuralgia
  Ramsay Hunt syndrome
  Herpes zoster ophthalmicus
  Encephalopathy
  Aseptic meningitis
  Pneumonitis
  TTP
  Guillain-Barre syndrome
  Cellulitis
  Arthritis
• See Also:
  Viral exanthems