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Suggest Treatment For Shingles Infection
Question: Hello,
since a couple of weeks I have strong pain at the lower ribs on my right side, no other symptoms. There was no injury or any other incident I am aware of. X-ray and ultrasound showed nothing wrong. Lab was done for liver enzymes (fine) and no inflammation was found (CRP normal), only lymphocytes were significantly too low. Doctor suggested it might be an unusual case of Shingles, because I have no symptoms on my skin but possibly neuritis. Insurance in my country would not pay for Varicella zoster virus (VZV) lab tests, so I had them done privately.
My question: What do the following lab results mean regarding a possible acute case of (atypical) Shingles? Do those results confirm this diagnosis or not?
HIGH: VZV-AK (IgG): >5000 mIU/ml (reference < 80)
HIGH: VZV-AK (IgA): >2.56 index (reference < 0.8)
NORMAL: VZV-AK (IgM): <0.1 index (reference < 0.8)
Thank you!
Kind regards,
XXXX
since a couple of weeks I have strong pain at the lower ribs on my right side, no other symptoms. There was no injury or any other incident I am aware of. X-ray and ultrasound showed nothing wrong. Lab was done for liver enzymes (fine) and no inflammation was found (CRP normal), only lymphocytes were significantly too low. Doctor suggested it might be an unusual case of Shingles, because I have no symptoms on my skin but possibly neuritis. Insurance in my country would not pay for Varicella zoster virus (VZV) lab tests, so I had them done privately.
My question: What do the following lab results mean regarding a possible acute case of (atypical) Shingles? Do those results confirm this diagnosis or not?
HIGH: VZV-AK (IgG): >5000 mIU/ml (reference < 80)
HIGH: VZV-AK (IgA): >2.56 index (reference < 0.8)
NORMAL: VZV-AK (IgM): <0.1 index (reference < 0.8)
Thank you!
Kind regards,
XXXX
Brief Answer:
Herpes zoster
Detailed Answer:
Hello
Thanks for the query.
Your reports are suggestive of a herpes zoster (shingles)infection.
Such infection with only pain and no rash is termed as herpes zoster sine herpete.
You need treatment with oral anti viral medication.
Please meet your doctor and discuss.
Let me know if you have any other doubts.
Thank you.
Herpes zoster
Detailed Answer:
Hello
Thanks for the query.
Your reports are suggestive of a herpes zoster (shingles)infection.
Such infection with only pain and no rash is termed as herpes zoster sine herpete.
You need treatment with oral anti viral medication.
Please meet your doctor and discuss.
Let me know if you have any other doubts.
Thank you.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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