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Have Shingles Without The Rash? Discomfort In Breast And Shoulder. No Itching. Suggest?

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Posted on Fri, 27 Sep 2013
Question: Can a person have shingles without the rash? My discomfort started three nights ago at the side of my left breast and has moved around to my shoulder blade...sternum to spine....dull pain,no I itch but skin feels shaffed.
doctor
Answered by Dr. Kalpana Pathak (1 hour later)
Brief Answer:
Yes, shingles can occur without rash.

Detailed Answer:
Hi,
Thanks for writing to us.
Shingles or herpes zoster can present with rash known as zoster sine herpeticus. Here no rash of herpes would be present but pain, itching, burning sensation can be there in a segmental distribution of a particular nerve.
As you are having symptoms in segmental unilateral distribution, it could be herpes zoster.
Such type of shingles is also treated with standard dose of antiviral like acyclovir or valacyclovir with painkillers and antihistamines .

Please XXXXXXX your dermatologist at earliest as antivirals should be prescribed with in 72 hours of affliction for better results.
Hope that helped.
Take care
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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Have Shingles Without The Rash? Discomfort In Breast And Shoulder. No Itching. Suggest?

Brief Answer:
Yes, shingles can occur without rash.

Detailed Answer:
Hi,
Thanks for writing to us.
Shingles or herpes zoster can present with rash known as zoster sine herpeticus. Here no rash of herpes would be present but pain, itching, burning sensation can be there in a segmental distribution of a particular nerve.
As you are having symptoms in segmental unilateral distribution, it could be herpes zoster.
Such type of shingles is also treated with standard dose of antiviral like acyclovir or valacyclovir with painkillers and antihistamines .

Please XXXXXXX your dermatologist at earliest as antivirals should be prescribed with in 72 hours of affliction for better results.
Hope that helped.
Take care