Ring of Fire, Causes, Symptoms and Treatment Methods

Ring of Fire, Causes, Symptoms and Treatment Methods

Is a viral disease that distinguish occurrence of pain similar to the pain of fire burns with a characteristic rash on one side of the body, usually on the skin of the chest or abdomen , making it easier to be described as a belt of fire on the body.

This disease usually affects elderly patients in about 10% of both sexes , has rarely occurs in young people increased by 3 per cent only .

Causes of Ring of Fire and its relation to disease chickenpox :

  Ring of Fire, disease and illness chickenpox virus causing them and one is a virus called chickenpox and Ring of Fire . (Varicella-zoster virus).

Where chickenpox disease affects mostly children through inhalation aerosol contaminated with the virus from a patient with the disease occurs at high temperature with weakness and pain in the body and throat infections and rashes is a fluid- filled blisters Leather transparent in most parts of the skin. The patient recovers automatically during a period ranging between one week and three weeks during which the immune system to overcome most of the viruses found in blood and various organs of the body .

Which gives immunity to the lack of sufficient disease chickenpox again , even if the patient's exposure to the same virus and HIV are those throughout the life of the patient .

But during the disease chickenpox passes virus chickenpox and the Ring of Fire from pimples in the skin and Alakhchih mucosa of the mouth, nose and throat to the parties existing nerve in those places infected with spread of the limbs nerve to reach the contract sensory nerve on both sides of the bone marrow , where the rest of these viruses lurk without any symptoms satisfactory throughout the life of the patient to be re- activated again as a result of some of the different factors that affect the immune system of the body and the skin which leads to disease Belt of Fire , which is usually in a knot neurological sensory one , which are often infected with the largest number of latent viruses .

What are the factors that may lead to the emergence of disease Belt of Fire ?

  Could activate the chickenpox virus and Ring of Fire, without any underlying factors that lead to clear and re- energized and the occurrence of the disease.

But it noted that the factors that lead to the emergence of disease Belt of Fire after a long latency period extends for a year leading to Ankhvat public resistance to the patient and the activity of the immune system , and these factors are:

1 - progress in life : where the largest proportion of the incidence of this disease in the patient over sixty years and is rarely in children .

2 - Diabetes : especially when the level of sugar in the blood up for long periods.

3 - drugs inhibiting the immune system - and steroids , which are given in large quantities in cases of tissue transplantation Kalklah , liver and blood cells in order not to reject the body to these tissues .

4 - some malignant diseases such as Alhodgkins disease and tumors of the lymphatic system (Lymphoma) and Allokima .

5 - various chemical treatments for some cases of malignant tumors in the body.

6 - Severe cases of general weakness due to malnutrition or disease in general.

7 - skin infections due to impact with hard objects or large surgical operations in the skin.

8 - the surgical area of ​​the spinal cord and sinus front .

9 - HIV (AIDS ) .

Is Ring of Fire, disease is an infectious disease ?

Yes Belt disease is contagious . The infection is through the transmission of the virus from pimples to proper human and sometimes a few are infected by inhaling droplets from patients to natural persons .

It is noted that infection with this virus occur only in natural persons who are not infected with disease chickenpox before , where symptoms of chickenpox after about two weeks of transmission of the virus chickenpox and Ring of Fire, to them , either patients who have already contracted chickenpox usually can not happen to them no symptoms satisfactory result of the transmission of the virus to them from patients Belt of Fire due to the presence of antibodies the body enough to eliminate the spread of this virus before .

Ring of Fire, the symptoms of the disease :

Beginning symptoms of disease Belt of Fire pain in one side of the body in the skin areas of the nerve infected with the virus where it continues to this pain for several days before the rash appears and duration of pain between one to two days in the areas of the face and neck and increase to 3-4 days in the area of ​​the chest and abdomen and places Other usually ranging between degree of pain or burning sensation similar sense of fire burns the skin in the affected areas to be severe pain in some cases accompanied by a slight rise in temperature with a headache and general weakness .

It is noted that these pains prior to the rash be the first symptoms of the disease in adults , children shall be either in the skin rash is the first symptom of the disease in most cases .

Continue pains seriously with the appearance of the rash has healed completely while the skin continues pains for several months after the patient recovers , especially in cases of disease of older people with other illnesses such as diabetes or factors immunosuppressive body . In most cases end with the disappearance of pains and skin rash recovery.

Rashes in disease Belt of Fire :

Be rash illness Ring of Fire, in the form of clusters of small blisters surrounded by redness in the skin , and contains these pimples on the transparent liquid may turn a few days later to the media purulent , and continues the rash appears over three to four days , and usually dry up pimples during a week to ten days of its appearance and thick crust consists caked skin and continue until the patient recovers .

     And is characterized by rashes in the disease appearing in places the skin , which is fueled by nerve infected only and in one side of the body varies by nerve with the disease and therefore the rash skin Aatakty middle of the body Elanadera , and it is known that this disease can appear anywhere in the skin the patient but is considered the chest of more places that get this disease , where there 's more than 50 % of patients , followed by the facial area as a result of injury, nerve fifth in 20 % of cases, especially the elderly , who may be accompanied by inflammatory eye sores corneal result of injury to the nerve eye , which is part of the fifth nerve , either the rest of the body parts shall be hit by varying degrees up to 30% of the disease .

What is the duration of the disease?

In cases which shall not be subject to treatment early last rash Pain for 2-3 weeks in children and young patients , and extends from 3 to 4 weeks in the elderly , then disappear rash may leave his place raised ranging from skin change to a dark color to occurrence of some cystic cutaneous place of pimples and the formation of a small dig deep and firm the skin .

And after the patient recovers from the disease Belt of Fire may be formed has sufficient immunity to the lack of both patients and chickenpox Belt of Fire throughout the patient's life , even if exposed to the infection again the same virus.

Does the symptoms and complications of the disease in places different body ?

Yes , different symptoms and complications of the disease by an infected nerve . In cases of nerve V may accompany the rash appears on the side of the forehead and face blisters next to the nose as a result of injury, the backbone of the eye , which is a branch of nerve V , which could lead to an eye injury in two-thirds of cases, infections and ulcers corneal with the possibility of inflammatory conjunctivitis and uveitis and solid and weak in the eye muscles and in the case of the seventh nerve injury fed to the external ear skin and tonsils and throat and facial muscles , accompanied by the appearance of a rash in the area of ​​the external ear and throat sense of the patient's pain in the ear with the hearing-impaired and dizziness . In some cases do happen temporary paralysis of the muscles in the side of the face as a result of inflammation of the seventh nerve fiber and its effect on feeding the facial muscles on the affected side .

As in the cases of the anal area and genital areas were infected patient in addition to the rash to disorder in the process of directing and urination.

Patient complications :

Most of the complications of the disease to speak except in cases of patients with disease or exposed to factors that lead to a weakened immune system of the body , which leads to increased severity of the disease and the occurrence of T. Alamadaafa . The complications are rare in children and young people while may occur in adults who poison over the age of sixty years .

These complications are:

1 - nerve pain of the disease :

 Is the most common complication ( 30% of patients ), which is a continuing sense of pain varying degrees even after healing of the patient's skin and the disappearance of the rash has Tzmtr Pain between three to six months of healing the skin.

2 - atrophy of the affected parts of the skin as a result of cirrhosis of the pimples .

3 - Secondary infections with bacteria and pus in the appearance of the rash .

4 - eye complications such as inflammation of various parts of the eye and corneal ulcers may in some cases lead to the lack of vision of the affected eye .

5 - next to temporary paralysis of facial nerve injury as a result of the seventh .

6 - inflammation of the internal organs of the body , such as pneumonia , hepatitis , inflammation of the esophagus , stomach, bladder infection and inflammation of the membrane lining of the heart .

7 - The spread of the disease to other parts of the skin which is rare except in cases of extreme weakness of the immune system.

8 - inflammation of the membranes lining the brain, which is to talk to him , but in the case of extreme weakness of the immune system as in AIDS cases .

Diagnosis of the disease :

The disease does not constitute any difficulty in diagnosis for dermatologists due to the stability and clarity of skin rash and spread to one side of the body by an infected nerve .

But it is possible in suspected cases to make sure the diagnosis is to identify the proteins of the virus in the blood and the isolation of the virus from pimples , vision and identified by electron microscope and identify the amino acids characteristic of the virus (VZV-DNA) by testing chain reaction Alpolamraz (PCR).

Can you catch a patient with this disease again ?

After the patient recovers from the disease Belt of Fire , the immune system may be the fact that a large amount and sufficient antibodies to the virus and be able to eliminate the virus when it enters the body again , but it usually does not take place this disease to the patient again even if exposed to infection with the virus , but in cases of immune dysfunction severe as in the cases of Aids.

Is it possible to prevent the occurrence of disease Belt of Fire by vaccination against the virus that causes it ?

Yes, there are vaccinated against the disease .

And the goal of vaccination is to prevent the re- activated and the spread of the virus present contract nerve in a latent, and also prevention of disease , and usually this vaccination may be prescribed for patients at risk of complications , especially the elderly and the ill will discourage the immune system significantly .

It has been found when using vaccination against this disease is that it leads to a decline in the incidence of the disease increased by only 51% of patients ( half of the patients ) also leads to a decline in the severity of disease by 60 % and reduced the occurrence Pain follow-up of the disease by 66 % and will be recalled that the Food and Drug Administration has adopted the use of this vaccine in people over the age of sixty years . But it must be known that vaccination against the disease does not prevent the belt fiery occur in a large proportion of patients do not consider it as a remedy in the event of illness. (1)

Topical treatments :

You can use cold compresses to the affected skin or Alklamina means to ease the pain and speed dry pimples.

Not recommended using anti-viral drugs as a topical treatment , where it has been proven ineffective .

Other treatments :

In simple cases can sufficiency comfortable with giving some analgesics such as paracetamol . But in severe cases and in patients with other diseases of the immune system would discourage it is best to use anti-viral drugs during the 48 hours of the appearance of the rash .

The aim of early treatment with anti -virus to:

1 - preventing the spread of the disease in the skin and body.

2 - prevent the occurrence of complications.

3 - to prevent the pain associated with the disease and reduce the severity .

4 - to prevent the pain of the disease after recovery .

What medications that Tskhaddm in the treatment of disease Belt of Fire ?

You can use any of these drugs (such as drug acyclovir (ACYCLOVIR)

Or drug valaciclovir (VALACYCLOVIR)

Property Vamsikulovar (Famcyclover)

By mouth , for a week .

But in patients with weak immune systems and the expected occurrence of the disease including severe degree it can give the patient intravenous injection drug acyclovir for a week .

May occur in some cases of AIDS patients to be weak response to previous drugs , and therefore can be given medication Ovskarndt (Foscarnet).

Treat nerve pain of the disease :

Usually decreases the occurrence and severity of these Allam at the start of early treatment of the disease by anti-viral drugs . But this pain can be treated using some painkillers for L with certain medications that affect the nerve cells such as drug Amiterbtlin (Amitriptyline), clomipramine (CLOMIPRAMINE) or drug gabapentin (Gabapentine).