Symptoms

There may be a prodromal period of paraesthesia and burning or shooting pains in the involved segment. This is usually followed by the appearance of a band of vesicles. Rarely, the vesicles fail to appear and only pain is experienced. This is known as zoster sine herpete. In individuals who are immuno-

compromised, disease may be prolonged and dissemination may occur but is rarely fatal.

Shingles in pregnancy is usually mild. The fetus is only affected if vire-mia occurs before maternal antibody has had time to cross the placenta.

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