Where Do Shingles Appear on the Body? Most Common Occurrences (with photos)

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Last Reviewed:July 11, 2023 by Gabrielle Marks

Where Do Shingles Appear on the Body?

Where Do Shingles Appear on the Body?

Though shingles can attack any part of the body, the virus is most often seen on the chest and face. [1]


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Shingles Attack Nerve Endings

Herpes zoster, more commonly known as shingles, is caused by the reactivation of the varicella-zoster virus that causes chickenpox. Following a chickenpox infection, the virus lays dormant in the cranial and spinal nerves until the body’s immunity to the virus decreases due to age or immunosuppression. Once the virus reactivates, it travels along the distribution of sensory nerves to the skin, where it presents as a painful rash.  This distribution pattern is called a dermatome. [2]

The most common nerves affected by shingles are cranial nerves and intercostal nerves. [3]

Thoracic Herpes Zoster and Intercostal Nerves

The most common form of shingles seen clinically is thoracic herpes zoster, which appears on the rib cage region of the body. Here the herpes zoster virus attacks the intercostal nerves, that is, those nerves situated between the ribs. [4]

These shingles will often appear, wrapping around the torso on one side.

Thoracic Herpes Zoster

Ophthalmic Herpes Zoster and Cranial Nerves

The cranial nerve most affected by herpes zoster is the fifth cranial nerve, particularly the ophthalmic nerve branch.  When this nerve cluster is affected, it creates a condition known as ophthalmic herpes zoster. [5]

Ophthalmic herpes zoster is an instance in which the shingles virus attacks the fifth cranial nerve, which is shared by the eye and orbit.  [6] 1 out of 100 people will contract the virus in this location. Without antiviral treatment, half of those who contract shingles in this location will develop various eye disorders, some of which can affect vision and can even lead to vision loss. [7]

Ophthalmic herpes zoster represents 10-20% of all shingles cases. [8]

Ophthalmic Herpes Zoster

Herpes Zoster Incident Rate

An estimated one in three people who have had chickenpox will get shingles sometime in their lives. [9]  The good news is the recurrence of herpes zoster is not common, afflicting 6-14% of those who have had it before. [10]

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