[NOTE: A while back I wrote this post to warn readers to be on the alert for the rash of shingles, because the illness can be devastating and early detection and treatment can help avoid the worst of the complications. Doctors and sufferers seem to often not recognize the first signs, so I am moved to post a warning again because of the following event.]
A while back I was talking on the phone to a friend of mine and she happened to mention that she had a small rash on her face. It looked like little blisters or pimples, and was really disturbing to her because, after all, wasn’t adolescence supposed to be over now that she was in her 50s? From whence came this foul acne resurgence?
Because of certain previous events in my life, I’ve become shingles-vigilant, and so I asked her whether she’d thought of shingles as a possibility. “It can be on the face, you know,” I said. And since I was at my computer anyway, I sent her some photos of facial shingles for comparison to her affliction.
No, she said, it didn’t really look like what she had. Well, maybe a little. Maybe just one or two of the pictures. And then she read a link I sent her about shingles in general, and she didn’t think it quite fit.
We didn’t see each other for a while (busy, busy, busy!) and I promptly forgot about our exchange. And then a couple of days ago I got a call from that same friend.
She sounded distraught. No, forget distraught: she sounded absolutely dreadful, as though she were being squeezed in a vise.
“For the last four days I’ve had the world’s worst headache,” she said, her voice barely recognizable, so tight with pain it was. “And I’m terribly nauseated and haven’t been able to sleep.”
This was alarming. It sounded to me like status migrainosis, where a migraine gets locked in and just goes on and on and on.
I encouraged her to go to the doctor again (she’d been two days earlier and they’d said she had a sinus headache and had given her antibiotics). It didn’t sound like any sinus headache I’d ever heard of, nor did it sound like she was being a wimp. It sounded dreadful and perhaps even dangerous.
I didn’t hear from her for a couple of days, despite my leaving several messages on her phone with mounting concern. And then I got the news: she’d been in the hospital. She was still there. And they now were saying it was herpes zoster: shingles, with its sequel of neuralgia.
But when I went to visit her I discovered the news was even worse: the diagnosis was actually herpes zoster ophthalmicus. In other words, shingles of the eye.
I’ll skip some of the details except the most salient ones: it can damage vision. It can cause long-lasting, intractable, and extremely severe pain that is very difficult to treat. It can (as you already know from this story) be hard to diagnose at first, and difficult to distinguish from more ordinary rashes.
My friend is still in the hospital. Right now the only thing that seems to control her pain is to knock her out. They’re trying to get the right combination of drugs to help her so that she can be released. I hope that her pain will ultimately resolve and her vision will be unaffected, as is true of most sufferers. But in the meantime her anguish is profound, and this could go on for a long, long time.
So what’s the point of this post? Simply this: please be aware of what shingles looks like [link warning: upsetting photos] and how it works. And even if your rash doesn’t seem to quite match the photos or your symptoms the descriptions, hie yourself to a doctor immediately and let him/her take a look.
And if you’re in your 50s or 60s, consider getting the vaccine.