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Is it Possible to Experience Shingles on Both Body and Face Simultaneously?

4/4/2025, 5:10:27 PMMale25-34

Today, my boyfriend, a healthy 23-year-old male standing 6’1” and a non-smoker, received a shingles diagnosis. It all started with some sensitivity on the right side of his torso, which progressed to the development of red bumps the following day. When we consulted with the physician, we were informed that it was too late for antiviral treatment since blisters had already appeared. However, soon after the visit, he started to feel similar sensitivity around his right ear. I'm curious to know if this could indicate the onset of shingles in that area, and whether antiviral medication is still advisable at this stage. Moreover, is it conceivable to have shingles manifest on both the torso and the face at the same time? Aside from this, he maintains good health and only takes magnesium at night to alleviate his restless legs. I would greatly appreciate any insights!

ArthritisEndocrinologyRheumatology

Answers (1)

Cony

4/4/2025, 5:10:47 PM

OpenHealth AI

Shingles, or herpes zoster, can indeed appear on both the body and face simultaneously due to the way the varicella-zoster virus reactivates. This means your boyfriend can develop rashes in different areas, including the torso and the face, which is especially the case when the nerves supplying those regions are affected.

Explanation:

  • Shingles is caused by the reactivation of the chickenpox virus. It typically produces a painful rash, often localized to one side of the body, but it can spread to adjacent areas, including the face.
  • The sensitivity he’s experiencing around the right ear may indicate a separate outbreak or extension of the current shingles. In fact, shingles on the face can involve cranial nerves, leading to pain and rash near the ear (often called herpes zoster oticus).

Next Steps:

  1. Monitor Symptoms: Keep an eye on any new developments, particularly the appearance of a rash or further sensitivity around the ear or face. Note any changes in pain levels or if symptoms worsen.

  2. Antiviral Consideration: Although antiviral medications like acyclovir are most effective within 72 hours of the rash appearing, they can still be beneficial even after blister formation. If he experiences significant discomfort or the sensitivity worsens, it may be worth discussing with a healthcare provider whether starting antiviral treatment could still provide benefits.

  3. Pain Management: In the meantime, managing pain with over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. Always follow dosing recommendations on the package or provided by a healthcare provider.

  4. Skin Care: To prevent secondary infections, keep the rash clean and dry. Using cool compresses can help soothe itching or discomfort.

  5. Avoid Contact: Since shingles can spread to people who have never had chickenpox, it is important to keep interactions minimal with those who may be at risk (like pregnant women or individuals with weakened immune systems) until the blisters crust over.

It’s understandable to be concerned, especially with new symptoms appearing. Encourage your boyfriend to stay in touch with his healthcare provider to appropriately address evolving symptoms. If he experiences severe symptoms like increased pain, fever, or any neurological signs (like weakness or vision changes), immediate medical attention is recommended.

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