Are there any complications from Herpes Zoster ?
Most people do not have any complications. Those that sometimes occur include the
following.
Postherpetic neuralgia
This is the most common complication. It is where the nerve pain (neuralgia) of shingles
persists after the rash has gone. This problem is uncommon in people aged under 50.
However, up to 1 in 4 people over the age of 60 who have shingles have pain that lasts
more than a month. The older you are, the more likely it will occur. The pain usually eases
gradually. However, in some people it lasts months, or even longer in a few cases. The
chance of pain persisting is reduced with treatment.
See a separate leaflet called Postherpetic Neuralgia for details.
Skin infection
Sometimes the rash becomes infected with bacteria (germs). The surrounding skin then
becomes red and tender. If this occurs you may need a course of antibiotics.
Eye problems
Shingles of the eye can cause inflammation of the front of the eye. In severe cases it can
lead to inflammation of the whole of the eye which may cause loss of vision.
Weakness
Sometimes, the nerve affected is a motor nerve and not a usual sensory nerve (ones for
touch). This may result in a weakness (palsy) of the muscles that are supplied by the nerve.
Various other rare complications
For example, infection of the brain by the varicella-zoster virus, or a generalised spread of
the virus throughout the body. These are very serious, but rare. People with a poor immune
system who develop shingles have a higher than normal risk of developing rare or serious
complications. (For example, people with HIV/AIDS, people on chemotherapy, etc, - see
below.)
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