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Have Occasional Flat Dark Red Irregular Shaped Spots On Arm. Had Shingles. Reoccurring?

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Posted on Thu, 21 Feb 2013
Question: Occasional flat dark red irregular shaped spots on my right arm...had them during a severe bout of shingles...no itching or pain with these...they go away relatively YYYY@YYYY

I suspect the shingles is not entirely gone...had shingles for 7 horrid months...Not raised spots

thank you..XXXXXXX
doctor
Answered by Dr. Nsah Bernard (2 hours later)
Hi XXXXXXX,

Thank you for posting on XXXXXXX
Let me start first by clearing up facts. Shingles (herpes zoster) is a painful, blistering skin rash (red patches on the skin, followed by small blisters) due to the varicella-zoster virus. Herpes zoster usually clears up in 2 to 3 weeks and rarely returns. Sometimes, the pain in the area where the shingles occurred may last from months to years . This pain is called postherpetic neuralgia (probably what you were experiencing after). Postherpetic neuralgia is more likely to occur in people over age 60. It occurs when the nerves have been damaged after an outbreak of shingles. Pain ranges from mild to very severe.
Now, from your description of the spots, I will identify them as petechiae ( small red or purple skin lesions that occur as a result of subdermal hemorrhage (due to breakage of blood capillary vessels). This petechiae could be due to previous viral infection or active viral infection. In any case, your doctor will have to do a sampling of the skin and analyse for presence of virus.
I think it is nothing serious to worry about but paying a visit to a dermatologist is advised.

Hope this helps and wish you a good health

Nsah, MD
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. Chakravarthy Mazumdar
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Answered by
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Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

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Have Occasional Flat Dark Red Irregular Shaped Spots On Arm. Had Shingles. Reoccurring?

Hi XXXXXXX,

Thank you for posting on XXXXXXX
Let me start first by clearing up facts. Shingles (herpes zoster) is a painful, blistering skin rash (red patches on the skin, followed by small blisters) due to the varicella-zoster virus. Herpes zoster usually clears up in 2 to 3 weeks and rarely returns. Sometimes, the pain in the area where the shingles occurred may last from months to years . This pain is called postherpetic neuralgia (probably what you were experiencing after). Postherpetic neuralgia is more likely to occur in people over age 60. It occurs when the nerves have been damaged after an outbreak of shingles. Pain ranges from mild to very severe.
Now, from your description of the spots, I will identify them as petechiae ( small red or purple skin lesions that occur as a result of subdermal hemorrhage (due to breakage of blood capillary vessels). This petechiae could be due to previous viral infection or active viral infection. In any case, your doctor will have to do a sampling of the skin and analyse for presence of virus.
I think it is nothing serious to worry about but paying a visit to a dermatologist is advised.

Hope this helps and wish you a good health

Nsah, MD