Herpes zoster or shingles results from reactivation of varicella zoster vir
us previously dormant in cells of the dorsal root ganglion. The incidence o
f shingles increases with age and immunosuppression. Guidelines far managin
g shingles are now available and implementation, with the emphasis on early
treatment, may reduce the severity of a shingles attack and reduce the inc
idence of complications.