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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Rash Followed By Tingling Sensation In The Head And Neck?

I have a rash only on one side firstly I had lumps come up on my left side of my head and had tingling across that side of my head the went down my neck on same side then rash came up under my earlobe and on neck under jawline on going to dr she has put me on antibiotics for 5 days but looking on line it sounds like shingles what do you think I keep getting pain in my ear and jaw also left eye feels like something in it
Thu, 1 Sep 2016
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General & Family Physician,  's  Response
Yes it is shingles. Shingles is characterized by a painful skin rash with blisters involving a localized area. It is caused by varicella zoster virus. Predisposing factors are old age, immune-compromised patients such as HIV infection, patients on chronic steroid and chemotherapy. Shingles resolves within 3–5 weeks, but secondary bacterial infection and chronic pain due to post – herpetic neuralgia may occur. Duration of recovery from post – herpetic neuralgia is uncertain and variable.
Advice
1.     You can take Zostavaxvaccine if you are more than 50 years old
2.     Valaciclovir 500 mg three times daily per oral for 7 days
3.     Ibuprofen 600 mg every 8 hours after mael for 7 days
4.     You can also apply locally aciclovir 3% ointment five time daily
5.     Do not take mental stress as it aggravates shingles
For post – herpetic neuralgia
1.     Gabapentin 100 mg three times daily for 20 days
2.     Methylcobalamin 500 mcg once daily per oral for 3 months
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What Causes A Rash Followed By Tingling Sensation In The Head And Neck?

Yes it is shingles. Shingles is characterized by a painful skin rash with blisters involving a localized area. It is caused by varicella zoster virus. Predisposing factors are old age, immune-compromised patients such as HIV infection, patients on chronic steroid and chemotherapy. Shingles resolves within 3–5 weeks, but secondary bacterial infection and chronic pain due to post – herpetic neuralgia may occur. Duration of recovery from post – herpetic neuralgia is uncertain and variable. Advice 1. You can take Zostavaxvaccine if you are more than 50 years old 2. Valaciclovir 500 mg three times daily per oral for 7 days 3. Ibuprofen 600 mg every 8 hours after mael for 7 days 4. You can also apply locally aciclovir 3% ointment five time daily 5. Do not take mental stress as it aggravates shingles For post – herpetic neuralgia 1. Gabapentin 100 mg three times daily for 20 days 2. Methylcobalamin 500 mcg once daily per oral for 3 months Thanks