Shingles (Herpes Zoster)
Shingles is a painful blistering rash from reactivation of varicella-zoster virus, typically in a single dermatomal band on one side of the body.
When to Book
Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.
Symptoms
Burning or shooting pain followed by grouped vesicles confined to one dermatome. Postherpetic neuralgia — persistent pain after rash healing — is the most common complication.
Causes & Risk Factors
The virus reactivates when cellular immunity wanes. Age over 50, immunosuppression, and stress increase risk. Shingrix vaccine reduces incidence by over 90%.
How We Evaluate
Clinical when dermatomal rash is present. PCR confirms atypical cases. We assess for eye involvement and Ramsay Hunt syndrome.
Treatment Options
Oral valacyclovir started within 72 hours reduces severity and neuralgia risk. Gabapentin or pregabalin manages pain. Our North Miami Beach team counsels on Shingrix vaccination.
When It Is Urgent
Seek same-day care if shingles involves the forehead or nose tip, if the rash is disseminated, or if immunosuppressed.
Frequently Asked Questions
Do I need a referral to see a dermatology provider?
No referral is required at Nomi Beach Health. You can book directly for any skin, hair, or nail concern.
What should I expect at my first dermatology visit?
We perform a focused skin examination, review your history, and discuss a treatment plan the same day. Bring a list of current medications and any photos of how the condition has changed.
How long does it take for skin treatments to work?
Timelines vary. Topical treatments for eczema or acne often improve in two to six weeks. Chronic conditions like psoriasis may need several months of consistent therapy.
Will my skin condition come back after treatment?
Many skin conditions are chronic and managed rather than cured. We create maintenance plans to minimize flare-ups and guide you on when to resume active treatment.
Do you accept insurance for dermatology visits?
Yes. We accept most major insurance plans. Contact our office to confirm your specific plan before scheduling.
Get a Clear Plan for Shingles (Herpes Zoster)
Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.