The typical early onset of zoster (shingles) includes blisters in groups.  The blisters often have a central depression. Grouped, depressed blisters on a red base are typical of zoster (shingles). Shingles typically has numerous grouped, small and/or large blisters, as displayed in this image. This image displays zoster (shingles) with blisters that are crusting and starting to heal. This image displays healing zoster (shingles) with the bloody crusts from the blisters beginning to fall off, leaving small skin erosions. This image displays clear, fluid-filled blisters on a background of inflamed skin typical of early zoster (shingles). The varicella-zoster virus that causes shingles can cause scarring of the cornea of your eye.
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Shingles (Zoster)  Information for adults

Picture of Shingles (Zoster): In zoster (shingles), tingling, itching, or pain can precede the skin outbreak. Divider line
In zoster (shingles), tingling, itching, or pain can precede the skin outbreak.
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Self-Care Guidelines
Although shingles usually heals without medical care, call your doctor if you suspect shingles before following these self-care instructions.
  • Keep the area clean with mild soap and water.
  • For pain, apply cool, damp compresses and take either acetaminophen (Tylenol®) or ibuprofen (Advil®, Motrin®).
  • Apply calamine lotion to relive itching.
Shingles is only contagious to people who have never had chickenpox or the chickenpox vaccine. It is spread by direct skin-to-skin contact with the blister fluid. When the blisters have formed scabs, you are no longer contagious.
When to Seek Medical Care
Call your doctor if you think you may have shingles, as there are medications that may speed healing if they are given within the first 72 hours after the rash appears.
Last Modified: 12 Feb 2009