Shingles: Why Young People Are Affected and Symptoms to Watch For

Shingles

Hello, Doctor Gao.
Typically, shingles is more common in individuals over the age of 50.
Why, then, do we see cases of shingles occurring in younger people? Is it true that individuals with weakened immune systems are more susceptible to the varicella-zoster virus? After experiencing shingles once, does that mean a person is less likely to get it again in the future? Before developing shingles, many people report symptoms such as general malaise, fatigue, weakness, and exhaustion.
I currently have resolved the tingling and itching in the shingles area, but now I am experiencing numbness in the left side of my back where there is no shingles rash, and I still feel overall fatigue and tiredness that has not improved.

Chen, 20~29 year old female. Ask Date: 2024/02/18

Dr. Gao Peiyi reply Traditional Chinese Medicine

1.
Although the condition is more common in older age groups, it can also occur during periods of weakened immunity following a viral infection, which may have happened recently.
It is important to consider any underlying chronic diseases and relevant family medical history, such as autoimmune diseases and diabetes, as these are associated with a higher risk.

2.
The sensations of numbness and fatigue in the back require time to recover.
Maintaining a regular routine, having a balanced diet, and engaging in moderate exercise should facilitate recovery.

Reply Date: 2024/02/18

More Info

Shingles, also known as herpes zoster, is indeed more commonly associated with older adults, particularly those over the age of 50. However, it can also affect younger individuals, especially those with compromised immune systems or certain underlying health conditions. The varicella-zoster virus (VZV), which causes chickenpox, remains dormant in the body after the initial infection and can reactivate later in life, leading to shingles.
The reasons why younger people may experience shingles include stress, illness, or any condition that weakens the immune system. For instance, individuals undergoing chemotherapy, those with autoimmune diseases, or even those experiencing significant stress may find themselves at a higher risk. Additionally, the incidence of shingles in younger populations has been increasing, possibly due to lower rates of chickenpox vaccination, which can lead to a lack of natural immunity.

Symptoms of shingles typically begin with a prodromal phase, which can include feelings of fatigue, malaise, and localized pain or tingling in the area where the rash will eventually appear. This can manifest as a burning or itching sensation, often described as a sharp or stabbing pain. Following this initial phase, a rash usually develops, characterized by clusters of blisters that can be painful and itchy. The rash typically follows a dermatomal pattern, meaning it appears along the path of a nerve, often on one side of the body.

In your case, experiencing persistent fatigue and discomfort, even after the shingles rash has healed, is not uncommon. Postherpetic neuralgia (PHN) is a complication that can occur after the shingles rash resolves, leading to ongoing pain in the affected area. This can be particularly distressing and may require further management.
It’s important to monitor your symptoms closely. If you are experiencing significant fatigue, persistent pain, or any new symptoms, it is advisable to consult with a healthcare professional. They may recommend treatments such as antiviral medications, pain management strategies, or even physical therapy to help alleviate symptoms and improve your quality of life.

In terms of immunity, while having shingles does provide some level of immunity against future outbreaks, it does not guarantee that you will not experience shingles again. The virus can reactivate multiple times, especially if your immune system is compromised again in the future.
To summarize, while shingles is more common in older adults, younger individuals can also be affected, particularly if they have weakened immune systems. Symptoms can include fatigue, pain, and a characteristic rash. If you are experiencing ongoing symptoms, it is crucial to seek medical advice for appropriate management and support.

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