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Shingles—The Lurking Danger

It is estimated that one in three people in Switzerland will develop shingles at some point in their lives. This painful skin condition is caused by the varicella-zoster virus. Vaccination is recommended for people aged 65 and older and for those at high risk.

Shingles is caused by the varicella-zoster virus. These are the same viruses that cause chickenpox. After a bout of chickenpox, the varicella viruses lie dormant, unnoticed, in the body’s nerve ganglia. If the immune system is weakened—for example, due to the flu or stress—these viruses are reactivated, leading to shingles. In Switzerland, it is estimated that one in three people will develop shingles at some point in their lives.

What are the symptoms of shingles?

“When the immune system is weakened, the virus multiplies, and the body responds with an inflammatory reaction,” explains Christian Greis, a senior physician in the Department of Dermatology. Early symptoms may include fatigue and a mild fever. A few days later, a red, itchy rash appears, accompanied by the formation of blisters. The pulling or stabbing pains on the skin are often accompanied by an unpleasant tingling sensation. Unlike chickenpox, the rash is localized and often appears on the trunk or face in the form of a stripe or band, hence the name shingles.

 

“It’s important to see a doctor early on so that shingles can be treated properly from the start.”

Christian Greis, Senior Physician

How is shingles treated?

The focus is on providing appropriate pain management. Also, the blisters should not be picked at, as this can lead to a bacterial infection. The condition is usually mild, and the rash typically clears up within two to four weeks. Depending on the situation, antiviral treatment may be administered in the form of tablets.

Chronic Nerve Pain Following Shingles

However, shingles is not always a harmless condition. Especially after an illness affecting the head, a permanent and painful nerve inflammation—known as postherpetic neuralgia—can develop, which in extreme cases can persist for months or even years. Fortunately, that rarely happens.

Vaccination for People Age 65 and Older and Those with Compromised Immune Systems

Shingles often occurs in older adults. The Federal Office of Public Health (FOPH) therefore recommends that people aged 65 and older and those with weakened immune systems get vaccinated against shingles. Vaccinated individuals have a significantly reduced risk of developing shingles. If the disease does occur, however, its course tends to be mild.

How contagious is shingles?

Shingles is significantly less contagious than the original case of chickenpox. Nevertheless, the virus that causes shingles can be transmitted to other people who have not previously had chickenpox. Therefore, people with shingles should avoid direct contact with people who have not previously had chickenpox—especially if those people are pregnant. Once the rash has scabbed over, you are no longer contagious. This usually happens after five to seven days.

Responsible Specialist

Christian Greis, MBA, Dr. med.

Senior Attending Physician, Department of Dermatology

Tel. +41 44 255 11 11
Specialties: Dermatosurgery (Mohs surgery), Laser medicine & aesthetics , Telemedicine & artificial intelligence (digital dermatology)

Responsible Department