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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rashes On Neck Which Is Spreading To Face?

HI my husband complained a couple of days ago about his ear, finding it hard to swallow and intense pain around the nape of his neck. he has now developed a rash which seems to spreading from his neck to his shoulder and face .......any ideas ??????



many thanks

Thu, 12 Mar 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us

Pain and rash, localized to a part of body on just one side suggests a possibility of Herpes Zoster/ Shingles.
Zoster or Shingles usually presents with grouped, discrete, fluid filled lesions/ vesicles arranged in a stripe like pattern on just one side of the body.
The lesions are painful. They rupture to form erosion's/ raw areas which heal in about a week or ten days, on oral antivirals.
Diagnosis is clinically obvious.
Treatment is with oral antivirals like either acyclovir Or valacyclovir for a week.
These are prescription drugs and therefore I suggest that you visit a specialist in your region for a confirmatory diagnosis as well as appropriate prescription.
Topically he may use an OTC topical antibacterial e.g 2% mupirocin twice daily

Regards
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What Causes Rashes On Neck Which Is Spreading To Face?

Hello. Thank you for writing to us Pain and rash, localized to a part of body on just one side suggests a possibility of Herpes Zoster/ Shingles. Zoster or Shingles usually presents with grouped, discrete, fluid filled lesions/ vesicles arranged in a stripe like pattern on just one side of the body. The lesions are painful. They rupture to form erosion s/ raw areas which heal in about a week or ten days, on oral antivirals. Diagnosis is clinically obvious. Treatment is with oral antivirals like either acyclovir Or valacyclovir for a week. These are prescription drugs and therefore I suggest that you visit a specialist in your region for a confirmatory diagnosis as well as appropriate prescription. Topically he may use an OTC topical antibacterial e.g 2% mupirocin twice daily Regards