Shingles is a condition that’s caused by a reactivation of the varicella-zoster virus (VZV), the same virus that causes chickenpox. The medical term for shingles is herpes zoster.
Once you’ve had chickenpox, VZV lies dormant in nerve cells where it can reactivate later in life to cause shingles. What exactly causes VZV reactivation is unknown but is likely a weakening of the immune system due to age, stress, or illness.
The characteristic symptom of shingles is a rash. Pictures of this rash most often show it on white skin, where it appears inflamed and bright red. However, this rash can look different on black or brown skin.
Read on to learn more about how the shingles rash can look on black or brown skin, what other symptoms to watch out for, and when to seek medical attention.
Many images of the shingles rash show how it appears on white skin. These images typically display a patch of skin that’s very red and inflamed. This is called erythema and is due to the dilation of blood vessels in the skin.
While erythema can happen in all people, its effects can be harder to see on black and brown skin. Because of this, it can be hard to identify some types of skin conditions.
The shingles rash generally has a very distinct appearance and co-occurring symptoms. In fact, medical students in the study above identified shingles correctly at a similar rate for skin or color and for white skin.
Nevertheless, it’s important to be able to recognize the signs of shingles on black and brown skin. This is because when identified and treated early, the duration and severity of shingles can be reduced. We’ll describe what to look out for below.
When the shingles rash first starts, it often appears as small bumps in the affected area. You may also notice that the skin around these bumps appears slightly swollen.
Early shingles lesions are typically discolored compared to your surrounding skin. Depending on your skin tone, they may appear purplish, dark pink, or dark brown in color.
As the shingles rash continues to develop, it will form vesicles. A vesicle is a fluid-filled sac that forms under your skin. Vesicles from shingles can resemble blisters.
The raised, fluid-filled part of the vesicles can appear white or grey in color. Meanwhile, the skin surrounding the vesicles is typically discolored and, depending on your skin tone, may appear purple, dark pink, or dark brown.
Pain and itching can continue during this stage. Eventually, the vesicles will break open and scab over.
A condition called postinflammatory hyperpigmentation (PIH) may affect people with black and brown skin. This is when an area of skin becomes darker after experiencing inflammation or injury.
In many people, PIH will resolve over time, but this can sometimes take months or years. Additionally, scratching and exposure to sunlight can make the effects of PIH worse.
Pictures of shingles on black and brown skin
Click through the gallery below to see some different examples of how shingles can look on black and brown skin.
Now, we’ll take a look at some other symptoms of shingles, as well as when and how they develop.
The initial symptoms of shingles last for
- face, especially over the eye, which may require medical attention
Pain from shingles can be described in several ways, including:
The intensity of shingles pain can vary by individual. Some may only experience mild pain while for others, even the light touch of bed sheets can cause intense pain.
During this time, you may also experience other common symptoms of a viral infection, such as:
The rash develops
The characteristic shingles rash develops in the affected area as small bumps that eventually turn into fluid-filled vesicles, which can break open and crust over. This stage lasts for about 3 to 5 days.
The shingles rash is typically painful, itchy, or tingling. In some cases, these sensations may be severe.
Once the vesicles have burst and crusted over, it can take 2 to 4 weeks for the affected area to heal. It’s possible that the skin in this area may have scarring or changes in pigmentation afterward.
It’s possible for younger people to get shingles. When this happens, the condition is often milder.
Having a weakened immune system
You’re also at an increased risk of shingles if you have a weakened immune system. Some things that can cause this include:
- taking immunosuppressive drugs
- living with HIV
- having received an organ or bone marrow transplant
- having certain types of cancer, particularly lymphoma or leukemia
- Women typically develop shingles more often than men.
- Shingles is about 50 percent less common in Black people than in white people.
If you do get shingles, antiviral drugs can help to shorten the duration and severity of the condition. They may also reduce the risk of postherpetic neuralgia, a potential complication of shingles, by
Some examples of antiviral drugs that are used for shingles include:
These medications are most effective when started early. Because of this, be sure to see a healthcare professional as soon as you notice any signs or symptoms of shingles.
Most people with shingles can recover at home. Here are additional tips that may help with your recovery:
- Use a cool compress. Placing a cool compress on the affected area can help to soothe pain or itching.
- Take over-the-counter (OTC) medications. OTC medications like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) may help to relieve pain and fever. Topical anti-itch products like calamine lotion can help with itching.
- Don’t scratch. It may be tempting, but try not to pick or scratch at your rash, as this can potentially lead to a bacterial infection. It can also increase your risk of scarring or pigmentation changes.
- Keep calm. Stress may make your symptoms worse, so try to manage your stress levels. There are a variety of stress-reducing activities that you can try out.
The shingles vaccine can prevent shingles
The best way to prevent shingles is to get the shingles vaccine, known as Shingrix.
You can receive the shingles vaccine even if you’ve already had shingles. Shingrix can help to prevent you from developing shingles again in the future.
Regardless of your age, it’s important to see a healthcare professional right away if you develop symptoms of shingles. Antiviral drugs can help reduce the severity and duration of illness as well as lower your risk of complications.
Seeking timely medical attention is particularly important if you have:
- severe symptoms
- shingles that affect a large area of skin
- shingles around the area of your eyes, ears, or face
- a weakened immune system
Antiviral drugs are most effective when started within 72 hours after the rash begins. Because of this, don’t hesitate to seek care if you suspect that you have shingles.
Shingles is caused by the reactivation of VZV, the virus that causes chickenpox. One of the main symptoms of shingles is its rash, which can appear differently on black and brown skin than it does on white skin.
Shingles rash starts as small bumps that are discolored compared to your surrounding skin, often appearing dark pink, purple, or brown. These then turn into raised white or grey vesicles surrounded by discolored skin.
Shingles vesicles eventually break open and scab over, taking several weeks to heal completely. Black and brown skin may be affected by PIH after shingles.
It’s important to see a healthcare professional right away if you think you have shingles, as antiviral drugs can reduce the condition’s length and severity. If you’re age 50 or older, the shingles vaccine can help to prevent you from developing shingles.