Eyes shingles and stroke risk

Eyes shingles and stroke risk

An unexpected relationship between herpes zoster and risk of stroke.

Shingles (shingles zoster) is a skin disease expression by the chickenpox virus Varicella-zoster virus (VZV) causes symptoms mainly erythema - blisters, usually only appear on one side of the body with a lot of pain.

50% of older people aged 65-80; 50% of kidney transplant or bone marrow transplant; HIV / AIDS or cancer of all kinds, regardless of age; who are taking immunosuppressive drugs, the type of long-term corticosteroid drugs to treat asthma, arthritis; persons with a history of trauma, infection ... if each infected chicken pox as a child usually susceptible to shingles.
Eyes shingles

Eyes Shingles?

3-20% of cases of shingles lesions located in the trigeminal nerve, branch mainly in the eyes, called zona eyes. Patients often feel pain, burning in the eyes is going to be popular lesions. Shingles blisters will burst, the machine after the last 7-14 days and bad scarring may include skin pigmentation changes. Skin lesions may be bacterial superinfection. Shingles is a non-contagious, but who have not had chickenpox or the chickenpox vaccine may be in contact with the shingles patients.

8.1% of patients with shingles eye stroke

According to a study recently published in the Journal Watch Neurology dated 1-6-2010, patients with shingles eye area at high risk of stroke. Vascular disease is an important complication of shingles eye, which can lead to anemia, cerebral or sometimes brain hemorrhage.

Shingles occurs only in people who have had chickenpox (varicella). Over 10% of patients had chickenpox as a child will go on to develop shingles later in life.
To determine the frequency of strokes occur after shingles eye, it was back at the data of the Research Institute National Health Insurance Taiwan on this disease and compared with the disease systemic lupus erythematosus, polyarthritis low form, the whole sclerosis, HIV infection, malignancy, primary stroke cases or patients who were already taking immunosuppressive drugs. The results showed that in 658 patients with eye shingles, 8.1% had a stroke occurs within one year after the shingles, compared with a 1.7% stroke rate survey on 1974 patients with the disease above the other. A stroke rate was 4.52 times higher compared to many other causes of stroke!

There is no difference between the rate of stroke after shingles eye in patients with or without antiviral medicines.

This study confirmed the results of a previous similar studies that increase the risk of stroke after shingles at any location on the body, and both studies reported a sudden rate high stroke after shingles eye. Note, this study was limited to only retrospective symptoms, the need to eliminate the risk factors important cause of stroke, such as smoking, atrial fibrillation ...

The following important requirements of this survey is to find out the exact cause of the risk of stroke after shingles eye. Shingles treatment with antiviral drugs does not seem effective to reduce the risk of stroke. Is it possible to improve the disease by prolonged use of the drug, with more steroids? These issues are important because the current rate of elderly people in the population is increasing, and VZV infections disease and stroke are common in this age group.

Stroke has now been officially recognized as a serious complication of shingles eye along with other complications such as keratitis and nerve pain after shingles. Vascular diseases caused by VZV is determined drive consists of one or more disease-causing inflammation in the blood vessels of the brain.

We now have the shingles vaccine - zostavax - for people over 60 years old. However, if children are immunized against chickenpox chickenpox as a child will not be enough and therefore do not worry about shingles later.