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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Itchy Right Eye With Rashes On Same Side On Bridge Of Nose Mean Shingles ?

I have had a very itchy right eye (inside corner) for about a week. A red itchy and now somewhat painful rash has developed on same side on bridge of nose. Eye goes between itchy and painful and the rash has gone from 3 bumps to a darker rash in the area. I visited the Dr and Opth. last Thur and while the Dr was a bit concerned about Shingles, the Opth. didn't think it was a herpes virus. He preferred to just wait it out. But it seems to be worsening, not improving. Thoughts?
Fri, 3 Jan 2014
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Dermatologist,  's  Response
Hi,

I can understand your concern for itchy right eye with rashes on same side on bridge of nose.

The history provided is too brief but I can make a probable diagnosis of Herpes zoster or shingles.

Its sudden appearance, pain, deep redness and further one sided appearance in 4-5 days of period.

It is not unusual to find such kind of picture in zoster with red areas and pain present on one side of body not crossing the mid-line.

I suggest you to take a painkiller tablet such as paracetamol by mouth for two times a day after meals. This will reduce the pain intensity and if pain persists then you can take it for 3 times at a gap of 8 hours. For the itching part antihistamine tablet such as Loratadine (Claritin or lorfast) would be most appropriate to be taken in the same manner as for paracetamol.

Oral antiviral may be required such as acyclovir for best coverage of the problem. If your symptoms are not matching above then you need to take second opinion and accordingly go for the investigations suggested by the doctor.

Take care.
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Does Itchy Right Eye With Rashes On Same Side On Bridge Of Nose Mean Shingles ?

Hi, I can understand your concern for itchy right eye with rashes on same side on bridge of nose. The history provided is too brief but I can make a probable diagnosis of Herpes zoster or shingles. Its sudden appearance, pain, deep redness and further one sided appearance in 4-5 days of period. It is not unusual to find such kind of picture in zoster with red areas and pain present on one side of body not crossing the mid-line. I suggest you to take a painkiller tablet such as paracetamol by mouth for two times a day after meals. This will reduce the pain intensity and if pain persists then you can take it for 3 times at a gap of 8 hours. For the itching part antihistamine tablet such as Loratadine (Claritin or lorfast) would be most appropriate to be taken in the same manner as for paracetamol. Oral antiviral may be required such as acyclovir for best coverage of the problem. If your symptoms are not matching above then you need to take second opinion and accordingly go for the investigations suggested by the doctor. Take care.