6 Natural Treatments for Shingles

Shingles is an uncomfortable viral condition caused by the same virus that causes chicken pox. While there is no cure, several natural remedies can offer relief from symptoms.

Shingles (herpes zoster) is a viral infection that causes a painful rash. The varicella zoster (VZV) virus causes this viral infection. It’s the same virus that causes chickenpox.

If you had chickenpox as a child, the shingles virus lies dormant in your body. The virus can reactivate later in life and cause a shingles rash. The rash can occur on any part of your body but typically only affects small sections.

Pain is usually the first symptom of shingles. The rash and fluid-filled blisters form within a couple of days after the onset of pain. Some people with shingles also have a fever, sensitivity to light, and fatigue.

According to the Centers for Disease Control and Prevention (CDC), about 1 in 3 people in the United States will develop shingles at some point in their lifetime.

The shingles virus can last between two and six weeks. Shingles isn’t life-threatening, but some people experience postherpetic neuralgia. This is when nerve fibers become damaged, causing shingles pain that lasts for weeks or months after the rash clears.

There’s no cure for shingles, but your doctor can prescribe antiviral medication to help shorten the duration of the virus and reduce symptoms.

Although an antiviral is an effective treatment for shingles, it’s not the only option. Several natural remedies may also reduce pain and discomfort.

Daily cleansing of the blisters reduces the risk of spreading the infection. Take a cool bath or shower to soothe skin. The coolness of the water can ease pain from shingles blisters and calm itchiness.

You can also take a healing bath to reduce symptoms. Pour 1 to 2 cups of colloidal oatmeal or cornstarch into lukewarm bathwater and soak for 15 to 20 minutes. Do not use hot water. Hot water can worsen shingles blisters because heat increases blood flow.

Dry your body completely and then wash your towel to avoid spreading the virus to others.

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In addition to taking a bath to relieve pain and itchiness associated with a shingles rash, apply a cool, moist compress. Do this several times throughout the day to relieve symptoms. Soak a cloth in cool water, wring out the water, and apply the cloth to the rash and blisters.

The coolness of the compress can reduce pain. Repeat the process as often as you need. Do not apply an ice pack to the rash. The coldness may increase skin sensitivity and worsen pain.

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Create a paste using cornstarch or baking soda and water to naturally relieve itching caused by a shingles rash.

Pour two parts cornstarch or baking soda into a cup. Add one part water to get the desired consistency for the paste. Apply the mixture to your rash. Rinse it off after 10 to 15 minutes. Repeat several times a day as needed.

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Scratching a shingles rash can cause scarring and prolong blisters. If itching doesn’t improve after a healing bath, a cool compress, or a baking soda or cornstarch mixture, use soothing lotions and creams.

Lotions and creams don’t speed up the healing process, but they can increase your comfort level. Avoid scented or perfumed lotions. They can cause further irritation.

Use lotions and creams sparingly. Heavy application can keep sores from drying out and lengthen the healing process. For the same reasons, don’t use antibiotic ointments on the sores.

If you decide to use creams or lotions, it would be more effective if you applied one containing the natural ingredient capsaicin, up to three or four times per day. This is the active ingredient in chili peppers.

Capsaicin has an anti-inflammatory effect to help ease pain. Pain may increase after initially applying the cream, but it’ll slowly go away. This cream works by reducing pain signals sent to your brain.

Additionally, you can apply calamine lotion after baths and showers to soothe irritated skin and help dry out blisters.

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A weakened immune system worsens shingles. Some dietary changes can strengthen your immune system and prevent shingles from spreading to other parts of your body. Take steps to boost the function of your immune system by eating certain foods and avoiding others.

A shingles diet consists of foods with vitamins A, B-12, C, and E, and the amino acid lysine. Foods that promote healing include:

• orange and yellow fruits
• leafy green vegetables
• red
  meat
• eggs
• chicken
• wild-caught fish
• dairy
• whole
  grains
• legumes
• beans
• tomatoes
• spinach

As you heal and cope with the effects of shingles, you might crave comfort foods. However, you should avoid certain foods if you have shingles. Foods to avoid include:

• food and juices with high amounts of sugar
• arginine-rich foods (including chocolate,
  gelatin, and nuts)
• refined
  carbohydrates
• foods high in saturated
  fat

Eating too much of these foods can weaken the immune system and potentially prolong the virus. Foods with high levels of arginine can even cause the virus to reproduce.

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You might consider homeopathic remedies along with conventional therapy to help with your shingles symptoms. Homeopathy is an alternative medicine that embraces the approach of allowing the body to heal itself.

Currently, there’s little scientific evidence that supports the use of homeopathic medicine as a treatment for any condition. Additionally, the United States Food and Drug Administration (FDA) does not regulate the safety or efficacy of any homeopathic remedies.

If you’re considering using any homeopathic remedies, be sure to talk to your doctor first.

Some supplements and herbal medicines may also help your body fight the virus, and treat insomnia and anxiety due to shingles. These include:

• melatonin
• St.
  John’s Wort
• oregano oil
• Echinacea
• lemon balm
• green
  tea
• essential
  fatty acids

Consult your doctor before taking any supplements. Be sure you have the correct diagnosis. If your condition worsens, seek immediate medical care.

Understand that natural remedies don’t work for everyone. Even if you find an effective natural remedy, there’s no cure for shingles. The virus has to run its course.

However, nonconventional remedies may decrease your discomfort and irritation — and speed the healing process — when used in conjunction with conventional therapy.

Shingles Treatment, Medication, and Prevention: Pain Relief, Antiviral

Written by WebMD Editorial Contributors

• Antiviral Medications for Shingles
• Painkillers for Shingles
• Other Medications for Shingles
• Alternative Treatments for Shingles?
• Self-Care for Shingles
• Can I Prevent Shingles?
• Who Shouldn’t Get the Shingles Vaccine?
• More

The virus that causes chickenpox also causes shingles. It’s called varicella zoster. It can lie quietly in your nerves for decades after causing chickenpox but suddenly wake up and become active.

The main symptom of shingles is a painful rash that comes up on one side of your body or face. See your doctor as soon as you can if you think you might have this condition.

1 million people in the U.S. get shingles each year, according to the CDC. There is a shingles vaccine for prevention.

Your doctor may want to put you on medications to control your infection and speed up healing, cut inflammation, and ease your pain. They include:

These medicines may slow down the progress of the shingles rash, especially if you take them within the first 72 hours of having symptoms.

They can also lower your chance of having complications. Your doctor may prescribe:

• Acyclovir (Sitavig, Zovirax)
• Famciclovir (Famvir)
• Valacyclovir (Valtrex)

Talk with your doctor or pharmacist about side effects to watch for if you take one of these drugs.

Shingles causes inflammation and pain. Your doctor can suggest over-the-counter medicines to relieve milder discomfort. They include:

• Acetaminophen
• Ibuprofen
• Naproxen

These may also help you stave off postherpetic neuralgia, which is a burning pain that some people get after the rash and blisters of shingles go away.

If you have severe pain after the rash clears or an infection during your shingles outbreak, your doctor might prescribe:

Capsaicin cream: Be careful not to get it in your eyes.

A numbing medicine: You might get lidocaine (Lidoderm, Xylocaine) for pain. It can come in a variety of forms, such as creams, lotions, patches, powders, and sprays, among others.

Antibiotics: You might need these medicines if bacteria infect your skin and rash. But if bacteria aren’t involved, then antibiotics won’t help.

Tricyclic antidepressants: These medications might help ease the pain that lingers after your skin has healed, such as amitriptyline, desipramine (Norpramin), and nortriptyline (Pamelor). They may also help you with depression, if you have that in addition to shingles. Your doctor can tell you what the risks and benefits are.

Some studies show that various alternative treatments, from acupuncture to supplements, can offer relief. The research isn’t complete, but some show promise. Check with your doctor before you try any of these: 

TENS (transcutaneous electrical nerve stimulation). This therapy uses tiny electrical pulses to relieve pain. A TENS unit is about the size of a smartphone and comes with small patches called electrodes. You put them over the painful area and turn the unit on and off as your pain comes and goes. 

Traditional Chinese medicine. These treatments aim to restore balance in your body. They include acupuncture, the ancient practice of inserting very thin needles into your skin at specific points. Also, moxibustion and cupping, two types of heat therapy, are supposed to draw out toxins. These treatments may be done in combination.

Creams and other skin treatments. A mixture of liquid dimethyl sulfoxide (DMSO) and idoxuridine, an antiviral drug, may reduce swelling and the number of blisters you have when you put it on your rash. And chlorophyll, the chemical that gives plants their green color, is also used directly on the rash as a cream or saline solution. 

Supplements. You’ll find a long list of herbs, pills, and oils that claim to relieve shingles. Most have no research to back them up, but there are a couple of exceptions. Papain, a protein found in papayas, is sold in capsules. And manuka and clover honeys can be put directly on your skin. Very early studies on both show they might be helpful. 

There aren’t home remedies for shingles. But there are things you can do to help your skin heal.

Keep the affected area clean, dry, and exposed to air as much as possible.

The itching can be maddening at times, but try not to scratch or burst the blisters.

Soothe the rash. Your top priority is to find relief for the pain and itching that the rash causes. You might try:

1. Oatmeal baths. Dip into a cool tub of water. For extra relief, add colloidal oatmeal, which is made of oats that have been ground to a very fine powder. This soothing bath may help calm your itching.

2. Cold compresses. Run a washcloth under cool water and place it on your blisters for about 20 minutes at a time. Not only can this relieve itching, it also keeps your blisters clean. That can help you avoid a skin infection. If your blisters aren’t oozing anymore, stop using cold compresses. And if you are using any creams or patches on your rash, don’t use compresses at the same time.

3. Loose clothing. You’ll likely find that relaxed fits made from natural fibers, such as cotton or linen, give you more comfort. If you need to cover your blisters, avoid bandages that might stick to your rash.

4. Calamine lotion. Treat your skin with this smooth, cool, and soothing balm.  

Treat your body and mind. You can get worn down mentally when you’re in constant pain. Stress can make it seem even worse. Self-care starts with treating your rash, but don’t stop there. Your mind and emotional state need to be cared for as well. 

Stick with good habits: Your body is working hard to fight the varicella zoster virus that causes shingles. To give it the right support, you can:

• Eat nutritious food and have regular meals. Ask someone to make a run to the grocery store for fresh fruit and such if you’re not up for it.
• Try to get a good night’s sleep and rest anytime you need to.
• Do gentle exercises, such as walking or stretching. Light activity can help take your mind off the pain. Keep it simple though, and check with your doctor if you’re trying something new.

Distract yourself. Sometimes, the best thing you can do is to put your focus elsewhere. Here are a few things to try:

• Call a friend.
• Listen to music that relaxes you.
• Read a book.
• Watch a favorite movie.
• Work on hobbies you enjoy.

Keep calm. Relaxation can be a big help. With a calmer mind, you can better handle your discomfort. You may want to try:

• Meditation
• Tai chi
• Walking (but keep your blisters covered)
• Yoga

Experiment with these strategies as you get through your shingles outbreak. Different things can help depending on how severe your symptoms are and how you feel from day to day.

There are two shingles vaccines. Shingrix is the recommended vaccine. Zostavax is no longer avilable in the U.S.

Who should get it: The CDC recommends that you get this vaccine if you’re a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. If you have had the Zostavax vaccine, you can also get Shingrix.

How many shots do you need? You would need two shots for Shingrix: One at first, with a follow-up in 2 to 6 months.

What it does: Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.

I never had chickenpox. Do I still need the shingles vaccine? Yes, you do. Shingrix is recommended for everyone age 50 or older, whether or not you remember having had chickenpox.

If I’ve had shingles, can I still get the vaccine? Yes. It may help prevent another bout of shingles later on. If you have shingles right now, you should wait until the rash is gone before you get vaccinated.

What are the side effects? The most common side effects with Shingrix include pain and swelling where the needle went in you skin, muscle pain, tiredness, headache, chills, fever, and stomach troubles. With any vaccine, there is a chance of a severe allergic reaction. 

Don’t get the Shingrix vaccine if:

• You’re allergic to any of the ingredients.
• You’re pregnant or nursing.
• You have tested negative for immunity to the chickenpox virus. Ask your doctor about the chickenpox vaccine instead.
• You have shingles now.

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causes, symptoms, treatment, prevention at home

What is shingles

The causative agent of the disease is the herpes virus type 3. Most people know him well since childhood. This is the same virus that causes chickenpox. Thus, having entered the body at an early age, it remains there forever, and the person becomes the carrier of this strain.

Most people on earth live with a similar pathogen and may never experience shingles. But sometimes, under favorable conditions for the virus, it gives a relapse in the form of a disease. It may be accompanied by eruptions on various parts of the body, or occur without rash, but always leads to neuralgic affections. Most often, relapse overtakes older citizens from 60 to 80 years. It is in this age group that up to 60% of all cases of herpes zoster are recorded.

Causes of shingles in adults

Doctors agree that the cause of the disease is a weakened immune system, in which the body’s defenses are not able to cope with the activity of the virus. Therefore, with a recurrence of type 3 herpes, first of all, they find out the causes of a failure in the immune system. These include:

• oncological diseases and related radio and radiation therapy;
• surgical interventions, including organ transplants;
• HIV/AIDS;
• antibiotics and drugs that kill the protective functions of the body;
• depression, stress;
• hypothermia or overheating.

Shingles itself is not a contagious disease. But a sick person is a source of the varicella-zoster virus. Therefore, for everyone who has not had this childhood infection, any contact with a person suffering from lichen is strictly contraindicated. Otherwise, it is almost a 100 percent guarantee of catching chickenpox. The disease can be transmitted in several ways: airborne, household contact and transplacental (from mother to child during pregnancy and childbirth). The patient is a danger to others during the entire time when he has new bubbles.

Symptoms of herpes zoster in adults

Herpes zoster has two forms, typical and atypical, which manifest themselves in different ways.

Typical shape. Passes through 3 stages, each of which is characterized by its own set of symptoms:

• The first stage lasts from 2 to 4 days. The patient begins to be disturbed by painful sensations of the neuralgic type, tingling, burning, itching in the place where rashes soon form. Often there is a disorder of the function of the gastrointestinal tract, the temperature rises to 39°C, lymph nodes are enlarged.
• The second stage is characterized by the appearance of a rash. First, red spots of different sizes appear – up to 5 mm. After 3-4 days bubbles (vesicles) form. This process is also accompanied by pain and itching.
• The third stage occurs when crusts begin to form in place of the bubbles. Over time, they dry out and fall off. With shingles, skin lesions heal in 10 to 14 days. But the neuralgic manifestations remain.

Atypical form. In this case, herpes zoster can be expressed in several different types:

• Mild (abortive) – vesicles do not form, the disease manifests itself only with neuralgia.
• Severe (gangrenous) – usually occurs with catastrophic immunodeficiency. It is distinguished by very abundant rashes that encircle the affected part of the body, constantly changing movement. There are more and more rashes.
• Vesicles – vesicles grow in size, seem to unite and form rashes of considerable size, with uneven edges.
• Generalized – in case of serious disorders of the immune system, following typical rashes, herpes type 3 affects large areas of the skin and mucous membranes.
• Bullous – vesicles coalesce into single large papules.

Also, herpes zoster is classified according to the place of localization, distinguishing gangliocutaneous (the most common), ophthalmic, ear and other forms.

In the typical form of herpes zoster, red patches of varying size first appear, followed by blisters after 3-4 days. Photo: Wikipedia, Globallookpress. In the typical form of herpes zoster, red spots of various sizes first appear, and after 3-4 days bubbles form. Photo: Wikipedia, Globallookpress. In the typical form of herpes zoster, red spots of various sizes first appear, and after 3-4 days bubbles form. Photo: Wikipedia, Globallookpress.

Treatment of herpes zoster in adults

Herpes zoster should be treated as soon as possible – already at the first signs of the disease. The doctor will always prescribe a comprehensive treatment that will relieve the patient of the unpleasant symptoms of the disease, reduce the risk of complications, and also support the immune system.

Diagnosis

Diagnosis is usually based on examination of the clinical picture. When the patient has already developed a rash, it becomes obvious. But at the very beginning of the disease, it can be confused with pleurisy, trigeminal neuralgia, appendicitis, angina, pulmonary infarction, renal colic. It is also important for a doctor to distinguish lichen from ordinary herpes, chickenpox, and acute eczema.

To make a correct diagnosis or clarify it, doctors resort to various methods of laboratory diagnostics:

• PCR analysis – it detects the DNA of the pathogen in the bubble fluid, blood, saliva;
• enzyme immunoassay (ELISA) – helps to detect antibodies to the virus, deal with the primary infection;
• immunofluorescent analysis – allows you to find antigens;
• HIV / AIDS test – may be prescribed in case of development of a generalized form.

The patient may also be referred for a general and biochemical blood test, a general urinalysis.

Modern methods of treatment

Herpes zoster is treated mainly on an outpatient basis. But with gangrenous, generalized, ophthalmic and ear forms, patients are admitted to the hospital.

There is a wide range of medicines that are used to treat this infection:

Topical antivirals. They help to quickly cope with rashes.

Antivirals for oral administration. They allow you to fight the virus more effectively.

Painkillers . Non-steroidal antivirals not only relieve pain, but also treat inflammation. Lidocaine based ointments also help with pain.

Antihistamines. Similar medicines help relieve itching.

Vitamins. B vitamins (tablets or even injections) are needed to prevent tissues from being actively destroyed.

Antibiotics. If a bacterial infection is attached to shingles, the doctor will prescribe such remedies.

Often the patient is prescribed physiotherapeutic procedures – UHF, electrophoresis, ultrasound, ultraviolet irradiation. With proper treatment and compliance with all the recommendations of a specialist, the prognosis is favorable.

Prevention of shingles in adults at home

First of all, protection against shingles is in strong immunity. To preserve it, you should avoid any situations in which the body’s defenses are tested for strength.

Preventive measures also include the exclusion of contact with sick people. Those who have had chickenpox should avoid hypothermia, overheating, stress, overwork.

Vaccination is a good method of prevention.

Popular Questions and Answers

Infectious Disease Doctor, Virologist, Candidate of Medical Sciences Anna Demina answered popular questions about herpes zoster .

What are the complications of shingles?

If you do not get professional help in time, patients with weak immunity can develop serious complications, including severe ones such as viral meningitis or viral encephalitis. Another consequence is severe postherpetic neuralgia, when pain persists for a long time – up to 6 months, after treatment and elimination of all signs of the disease.

When to call a doctor at home for shingles?

Usually, shingles is not accompanied by such a severe condition as to call a doctor at home. But there are cases when this is indispensable. The criteria for such a situation should be considered the presence of high fever, severe pain and extensive rashes.

Is it possible to treat shingles with folk remedies?

This virus cannot be treated with folk methods! Treatment is prescribed only by an infectious disease specialist in each individual case.

How to treat lichen? ~ Expert advice

Lichen is a term for a group of dermatological pathologies that cause similar elements of a rash in the form of small nodules and spots. Not all types of lichen in humans are contagious, since both viral and fungal agents, as well as endocrine, neurological or genetic disorders, can cause these diseases. The external manifestations of these pathologies are so similar that only a doctor after a complete examination can make a correct diagnosis, determine how to treat lichen, and how to exclude its contagiousness.

Previously, the term “lychen” was used to refer to these diseases.

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Etiology and classification of lichen

Depending on the causes of development, several types of lichen are distinguished:

• Shingles.
  It is contagious, caused by the causative agent of chickenpox (Varicella zoster, a virus of the Herpesviridae family). It often develops in older or middle-aged people, children who come into contact with such patients get chickenpox.
• Ringworm (trichophytosis, microsporia).
  Refers to contagious, provoked by fungi of the genus Trichophyton or Microsporum canis, ferrugineum or audoin, which are often carried by homeless animals: cats, dogs, rabbits, monkeys, etc. The risk of infection increases with frequent contact with the source of infection: when working in veterinary clinics, feeding stray cats and dogs, working on livestock farms, etc.
• Black (epidermal cladosporiosis, black microsporosis).
  Refers to infectious mycoses, caused by Cladosporium wemeckii and Stenella arguata, which are more common in areas with hot and humid climates: Southeast Asia, Africa, countries of the tropical zone of America.
• Pityriasis (multicolor).
  Refers to slightly contagious keratomycosis, since infection is likely only against the background of predisposing factors with prolonged and close contact with the patient. Caused by the fungus Malassezia furfur, Pityrpsporum orbiculare or ovale.
• Pink (pityriasis, Gibert’s disease).
  Not considered contagious. The exact causes of lichen are still unknown, its infectious-allergic nature is assumed.
• Flat red (skin and mouth).
  Is not contagious, the exact causes of development are not yet known. Often observed with stress, pathologies of the digestive tract, liver and pancreas, diabetes mellitus, hypertension, toxic-allergic reactions, for example, with long-term use of tetracycline and gold preparations, in people whose work consists in developing color film or is associated with contact with paraphenyldiamine.
• White (sunny).
  Not infectious, causes of development are not yet known exactly. But, most likely, they are associated with the activity of Malassezia fungi, which secrete a component that stops the flow of ultraviolet radiation to the skin and slows down the delivery of melanin.
• Scaly (psoriasis).
  Not contagious, presumably caused by multifactorial causes: heredity, neurotic reactions, past infections.
• Weepy (eczema).
  Not contagious, can be provoked by many or several reasons at once: disorders of the immune system, allergies, endocrine pathologies, disorders in the gastrointestinal tract, stress, work in hazardous industries, trophic disorders in advanced varicose veins, etc.
• Scleroatrophic (white spot disease, vulvar/penis kraurosis, guttate scleroderma).
  Is non-contagious, the causes are not yet well understood, usually occurs against the background of hereditary predisposition, autoimmune disorders, hormonal imbalance, endocrine pathologies or frequent psycho-emotional stress.
• Linear (strip).
  Not contagious, the causes of development are not yet known exactly, most likely, they are associated with congenital changes in the development of nerve and skin tissues or the disease develops as neurodermatitis, often occurs at 2–3 years of age.
• Shiny lichen.
  It is not contagious, the infectious-allergic nature of the disease is assumed.

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Ways of infection we deprive

Lichen in humans can be contagious or non-contagious. In non-contagious forms, causes or predisposing factors are the impetus for the appearance of rashes. Infectious types of lichen occur through contact with sick people or animals. The likelihood of their development increases non-compliance with hygiene rules, skin injury and reduced immunity.

The causative agent of herpes zoster is transmitted by airborne, contact or transplacental routes. Before the appearance of the first manifestations, it takes from 11 to 21 days (on average 2 weeks).

Fungal causative agents of lichen are transmitted by contact. Such highly contagious mycoses as microsporia and trichophytosis often appear after contact with sick animals. They quickly spread in a team or family through household items contaminated with fungal spores or by direct contact with the affected skin. The peak incidence is in May-September. The incubation period is about a week.

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Clinical manifestations of lichen

Signs of lichen depend on its type. The main manifestation of these diseases is a rash in the form of small vesicles, which usually itch, merge into spots, have even outlines and peel off. Symptoms of lichen give the patient both physical and psychological inconvenience due to the appearance of a cosmetic defect.

Herpes zoster

Manifestations can vary from mild to severe. Approximately 3-4 days before the rash appears, the patient feels pain along the nerves. Then on the body, usually in the intercostal region, bubbles with fluid appear, which merge into pinkish itchy spots. After opening the elements of the rash, a crust appears, sometimes peeling.

In addition to external manifestations, the signs of herpes zoster will be supplemented by a deterioration in well-being. In mild cases, only symptoms of general intoxication (fever, weakness, etc.) are observed, with a complicated course – manifestations of CNS damage.

Ringworm (trichophytosis, microsporia)

This ringworm in a person can appear on any part of the smooth skin or scalp, less often on the nails. On the affected area, pinkish spots with even outlines appear, which consist of small bubbles. At the initial stage, they do not cause itching, and it sometimes appears only over time.

The vital activity of fungi leads to hair loss in the spot area. When localized on the scalp, noticeable bald spots are formed, on which “hair hemp” is visible. The infection can spread by self-infection throughout the body. Sometimes the foci of lichen suppurate.

Black lichen

Small, dark lesions appear on the palms, feet and fingers or on the forearms and trunk. Over time, they grow, brighten in the center, grow together and form polycyclic areas. Outwardly, they can resemble melanoma. When viewed through a magnifying glass, small scales are visible on the surface.

Pityriasis versicolor

The symptoms of this variety are multiple rounded spots up to 1 cm in diameter slightly protruding above the skin. The color of the rashes varies and can be coffee, yellow, pink-brown or brown. The edges of the lichen are uneven. Over time, the spots peel off and itch a little. Under the influence of the sun, the rash often regresses. After their elimination, the affected area does not tan and remains white.

Lichen rosea (Giber’s disease)

Approximately 50-80% of patients initially have only one (sometimes 2-3) maternal plaque, bright pink with signs of peeling and about 3-5 cm in size. It is most often localized on the chest.

After 7–10 days, new lesions appear in the form of smaller pink spots of a round or oval shape on the skin of the arms, legs and torso. Within 2 days, the spots increase to 2 cm or more. They don’t tend to bleed.

Over time, the center of the spots turns yellow, covered with small scales and peels off. The appearance of the spot resembles a medallion. Itching is present in half of the patients, in 25% it is severe. After 6-8 weeks, the rashes are eliminated. Pigmented or depigmented areas remain on the skin, which are eliminated over time. There are usually no relapses.

Lichen planus (skin and mouth)

On the skin, the rash looks like multiple red-violet or crimson papules (2-5 mm) with a retracted middle and a waxy sheen. Peeling is usually slight, sometimes similar to psoriasis. The rash is arranged in groups in the form of rings, garlands or lines. Manifestations of itching can be expressed in varying degrees. After the rash is eliminated, persistent hyperpigmentation remains.

When the oral cavity is affected, lichen occurs in different forms:

• typical – gray-white nodules appear on the mucosa (up to 2 mm), when merged, they resemble a lace pattern;
• exudative-hyperemic – grayish papules appear on the reddened and edematous mucosa;
• hyperkeratolytic – gray plaques appear, which eventually coarsen, rise and cause a feeling of roughness and dryness in the mouth;
• erosive and ulcerative – the mucosa is covered with bleeding ulcers and erosions with fibrinous plaque;
• bullous – there are bullous blisters (up to 1.5 cm) with bloody exudate, which open up and form erosions with fibrinous plaque;
• atypical – rash occurs on the gums and upper lip.

One patient may have features of several forms. In 1% of patients (usually elderly), the rash becomes malignant.

Lichen scaly (psoriasis)

The rash is usually located on the extensor (rarely on the flexor) surface of the extremities. Sometimes appears on the scalp, soles, palms and genitals. The elements of the rash are represented by papules in the form of a rounded spot with clear contours. They are covered with dense silvery-white scales. After regression of the spot, areas of depigmentation remain.

Lichen lichen

Appears as small white round spots that appear in spring and summer. They protrude above the surface of the skin, itch, become inflamed and flaky. Melanin does not enter them and burns occur when exposed to ultraviolet radiation. White deprive can become chronic.

Weeping lichen (eczema)

The disease is chronic. Manifested by rashes in the form of clusters of bubbles in the area of ​​reddening of the skin. After the release of exudate, erosions with a soft crust are formed. The rash is very itchy and the constant itching can cause insomnia.

Lichen sclerosus

Lesions are located near the armpits, on the chest, neck, thighs, pubis and genitals. Most often occur in women 35-50 years old. The elements look like white papules that transform into light or pink plaques rising above the skin. They flake and itch a lot. Over time, the plaques atrophy and can lead to cancer of the skin and genital organs.

Lichen linearis

The rash appears very quickly and appears as papular-squamous elements (about 2-3 mm) protruding above the skin, pink or bright red. They are arranged in straight, wavy, or whorled stripes 1–2 cm wide and 5–30 cm long. The rash usually does not itch, gradually brightens, and leaves self-resolving foci of depigmentation.

Ringworm

More common in boys under 6 years of age. The rash almost never affects the face, head, palms, and soles. Usually located on the head of the penis, the skin of the lower abdomen, knees and elbows. The rash appears as shiny, firm, pearly, flat nodules that are close together but do not coalesce or peel. After a few weeks or years, the rash clears up on its own.

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Features of the course of lichen during pregnancy

The likelihood of developing or exacerbating lichen during pregnancy increases, since powerful hormonal changes occur in the body and immunity decreases. The danger to gestation and the fetus is determined by the type of lichen. Treatment should be carried out taking into account the gestational age.

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Features of lichen in children

Lichen in children is detected more often than in adults. The risk of infection with infectious species is higher because children often do not follow the rules of personal hygiene and the skin is more susceptible to infections.

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Complications of lichen

The nature and severity of the consequences of lichen are determined by its type. The unaesthetic symptoms of these diseases often cause psychological problems and neuroses. Herpes zoster can lead to severe lesions:

• CNS – meningitis, encephalitis, myelitis;
• organs of vision – neuritis of the optic or oculomotor nerves, keratitis, etc.

Psoriatic lichen provokes arthritis, scleroatrophic and red flat – malignancy.

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Diagnosis of lichen

You can find out how to treat lichen after a detailed examination, which is carried out individually for each patient.

If signs of lichen appear, consult a dermatologist. After a careful study of all complaints and examination, the doctor may prescribe a number of additional studies:

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• dermatoscopy;
• examination with Wood’s lamp;
• samples of Balzer et al.;
• microscopy of skin scrapings;
• skin biopsy;
• general blood and urine analysis;
• immunogram, etc.

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If necessary, the patient is assigned additional studies or consultations of a trichologist, immunologist, endocrinologist and other specialized specialists. Be sure to carry out differential diagnosis with other dermatological pathologies.

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Lichen treatment

Treatment of lichen is determined by its type. In infectious forms, isolation of the patient is recommended. The need for hospitalization is determined individually. The doctor may recommend the restriction of water procedures, contact with the sun, the use of cosmetics, the treatment of clothes and linen by boiling. All patients should wear comfortable clothing made from natural fabrics.

Antiviral and antifungal drugs may be given to treat lichen caused by viruses and fungi. If necessary, symptomatic therapy is used: antipyretics, antihistamines, sedatives, tranquilizers, etc. In severe cases, the doctor may prescribe systemic glucocorticoids. To enhance the immune response, vitamin, tonic and immunomodulatory drugs are used.

Local treatment of lichen may include the use of various agents:

• antiseptic solutions;
• skin dryers;
• antifungal ointments;
• antiviral ointments;
• glucocorticoid topical preparations;
• wound healing agents.

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Drug therapy can be supplemented by physiotherapy procedures: electrophoresis, ultraviolet radiation, PUVA therapy, balneotherapy, mud therapy, etc. In some cases, spa treatment is recommended.

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Prevention of lichen

To prevent lichen it is necessary: ​​

• observe the rules of personal hygiene;
• strengthen immunity;
• choose quality skin care products;
• timely treat chronic diseases;
• limit contact with harmful chemicals;
• limit contact with stray or sick animals.

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Q&A

Is shingles contagious?

Shingles is contagious, the disease is caused by the varicella-zoster virus. With primary infection, the development of chicken pox is observed. Re-infection provokes the development of lichen. For a long time, a person can be a virus carrier without presenting a danger to others. The virus is transmitted by contact: through body fluids, airborne droplets, from mother to fetus, through household items.

Can an allergy be like lichen?

At the beginning of the disease, lichen has the same manifestations as an allergy. The lesions are similar in shape, location, and color. But there are also distinctive signs: a rash with lichen has a clear outline and is located on well-defined areas of the body, itching rarely appears, but fever and an increase in lymph nodes are often noted. With allergies, on the contrary, rashes spread randomly throughout the body, the skin swells, the patient is worried about severe itching. The temperature during an allergic reaction most often rises only in children. To differentiate the disease, consultation with an allergist is necessary. If any rash appears in a child, it is necessary to contact a pediatrician and a pediatric allergist.

What does sunburn look like?

Solar lichen, or sun sickness, is a seasonal disease that appears under direct sunlight. Characteristic signs of lichen from the sun: hyperpigmentation and peeling. Spots of various shapes of pale pink color, most often appear on the back, shoulders, neck, chest and abdomen, in the sun the spots become lighter than healthy skin areas. With mechanical action, contact with clothing, the spots begin to peel off.

How to smear pityriasis versicolor?

One of the main treatments for pityriasis versicolor is topical therapy. Antifungal drugs (ointments, creams, sprays, shampoos and special solutions with antimycotic properties) are applied to the affected areas of the skin, sulfuric and salicylic ointments are widely used. A prerequisite for successful treatment of lichen is a consultation with a dermatologist.

Is it possible to cure ringworm with vinegar or iodine?

Vinegar and iodine are often used to treat lichen at home. Dermatologists strongly discourage the use of these products and self-medication. Vinegar (vinegar essence) and iodine with prolonged use can cause severe skin burns. If a child has any rashes and skin lesions, a consultation with a pediatric dermatologist is necessary.

Why is pityriasis versicolor dangerous?

Despite seeming safety, the consequences of pityriasis versicolor can be extremely unfavorable. These complications include: dermatitis, allergic skin reactions, cosmetic defect and psychological discomfort. The disease is prone to frequent relapses.

How does rosacea appear?

Pityriasis rosea develops against the background of a weakened immune system, after hypothermia or an infectious disease. Infectious agents are a “trigger” for the development of an allergic reaction in the form of lichen. Stress, digestive and metabolic disorders, insect bites, etc. can provoke the development of the disease. Any manifestations of pink lichen in a child is a reason to sign up for a consultation with a pediatric immunologist. The doctor will find out the causes of the disease, prescribe the necessary treatment, tell you how to strengthen the immune system.

Can ringworm go away without treatment?

Ringworm, or microsporia, is a fungal disease that affects the top layer of the skin. On its own, without proper treatment, ringworm disappears only in rare cases. In order to find out how to permanently get rid of the disease, you need to consult a trichologist.

Is it possible to do Mantoux if the child has lichen?

Lichen in a child is one of the relative contraindications for the Mantoux test, as results may be distorted. Testing is allowed after recovery. At a consultation with a pediatrician before a Mantoux test or vaccination, it is necessary to report all rashes and spots in the child.

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The article is for informational purposes only. Please remember: self-medication can harm your health.

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The author of the article:

Priymak Artem Valentinovich

Expert in the direction:

Efimova Victoria Olegovna

Dermatovenereologist, pediatric dermatovenereologist, dermatologist, trichologist

Which doctor treats lichen?

Call center operators will help you find out which doctor treats lichen at the MEDICOM clinic in the Obolon and Pechersk departments. You can treat lichen in the city of Kyiv with the help of professionals. Our clinic has all conditions for proper diagnosis and treatment, children are treated by pediatric dermatologists, consultation of a pediatric immunologist is possible. Contact us and we will help you restore the health of your skin.

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Departure of emergency teams is carried out in all districts of Kiev (Obolon, Pechersk, Podol, Svyatoshino, Darnitsa, Goloseevsky, Shevchenkovsky, Solomensky, Dneprovsky, Desnyansky) and suburbs (Vyshgorod, Bucha, Irpin, Brovary).

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Reviews

30.04.2023 12:00

Oleg

Thank you for the information. Until tsієї statti thinking that everything is contagious. In the future, I will know what to do. P.S. I have been going to the clinic for a long time, make sure everything is on top!

11.02.2023 17:57

Nina

An interesting and very informative article. Separately, I will say about the doctor. I visited Alexei Valerievich a few months ago, as it turned out, with psoriasis. He prescribed a very effective and simple treatment, the most difficult thing in it is to stick to a diet. But the symptoms of the sore have already decreased.

01.12.2022 22:01

Lutsenko Katerina

I have psoriasis (lichen lichen) as a child and it’s already unacceptable if people start to feel like a leper….think what is contagious people.0005

03/12/2021 09:42

Alexander 54

Sprinkled all over my body, I thought it was an allergy, thanks, I’m going to the doctor tomorrow.