{"id":3247,"date":"2026-07-03T09:16:48","date_gmt":"2026-07-03T07:16:48","guid":{"rendered":"https:\/\/fxjycfzyu.preview.infomaniak.website\/wordpress-2026\/?post_type=forschungen&p=3247"},"modified":"2026-08-26T16:50:14","modified_gmt":"2026-08-26T14:50:14","slug":"guertelrose","status":"publish","type":"forschungen","link":"https:\/\/ssipm.ch\/it\/forschungen\/guertelrose\/","title":{"rendered":"G\u00fcrtelrose"},"content":{"rendered":"","protected":false},"template":"","meta":{"cpt_lead":"G\u00fcrtelrose, der Herpes Zoster, ist die Hautmanifestation, die durch eine Reaktivierung des Varicella-Zoster-Virus (VZV) bedingt ist. Fast >90% der Bev\u00f6lkerung machen in ihrer Jugend oder jungen erwachsenen Alter die Windpocken \/ wilde Blattern durch, so dass sie den Virus in sich tragen. Durch eine Schw\u00e4chung des Immunsystems kann der VZV nicht mehr unterdr\u00fcckt werden und es entstehen die typischen, zumeist sehr schmerzhaften Hautver\u00e4nderungen. \u00dcberwiegend betroffen von einer G\u00fcrtelrose sind \u00e4ltere Menschen ab dem 60. Lebensjahr. \u00dcber 10% der Patient*Innen leiden trotz abklingendem Hautausschlag noch \u00fcber Monate unter st\u00e4rksten Nervenschmerzen.","cpt_hero_image":"https:\/\/ssipm.ch\/wp-content\/uploads\/2026\/07\/Polyneuropathie.webp","cpt_author":"Dr. med. Jan Ludwigs","cpt_doctors_office":"Institut f\u00fcr Interventionelle Schmerzmedizin SZ AG - ISSZ","cpt_hero_image_caption":"","cpt_sections":{"item-0":{"section_title":"Ursachen","section_anchor":"Ursachen","section_content":"

H\u00e4ufige Ursachen f\u00fcr eine Reaktivierung des Varizella Zoster Virus mit Post-Herpetischer Neuralgie sind Stresssituationen, eine akute Infektionserkrankung oder ein geschw\u00e4chtes Immunsystem infolge einer chronische Krankheit, Chemotherapie oder Alter. Es liegt eine durch das VZV verursachte\u00a0 entz\u00fcndliche Nervensch\u00e4digung vor. Je fr\u00fcher die PHN optimal therapiert wird, desto geringer ist das Risiko einer dauerhaften, chronifizierten Schmerzerkrankung.<\/p>\n","notice_enabled":"false","notice_title":"","notice_text":"","section_image":"","section_image_caption":""},"item-1":{"section_title":"Symptome","section_anchor":"Symptome","section_content":"

Der Hautausschlag der G\u00fcrtelrose ist im Gegensatz zur Windpocken-Erkrankung meist klar lokalisiert. Es ist nur ein einzelnes streifen- oder g\u00fcrtelf\u00f6rmiges Hautareal betroffen. Am h\u00e4ufigsten betroffen sind Rumpf-, Schulter-, oder Halsbereich. Prinzipiell k\u00f6nnen aber auch andere K\u00f6rperregionen betroffen sein. Wird die G\u00fcrtelrose durch eine Post-Herpetische-Neuralgie begleitet, k\u00f6nnen in den betroffenen (g\u00fcrtelf\u00f6rmigen) Hautsegmenten verschiedene Schmerzsymptome auftreten. Hierzu z\u00e4hlen Ber\u00fchrungs\u00fcberempfindlichkeit der Haut, sog. Allodynie und brennend, bohrend, elektrisch-einschiessende oder ziehende Schmerzen.<\/p>\n","notice_enabled":"false","notice_title":"","notice_text":"","section_image":"","section_image_caption":""},"item-2":{"section_title":"Diagnosestellung","section_anchor":"Diagnosestellung","section_content":"

Die Diagnose wird klinisch, auf Basis der Beschwerden und des typischen Erscheinungsbildes des Hautauschlages, gestellt.<\/p>\n","notice_enabled":"false","notice_title":"","notice_text":"","section_image":"","section_image_caption":""},"item-3":{"section_title":"Behandlung","section_anchor":"Behandlung","section_content":"

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Im akuten Stadium mit Hautausschlag erfolgt in erster Linie eine infektiologische Behandlung mit Virostatika und austrockenden Hautlotionen. Parallel kommen bei Post-Herpetischer-Neuralgie antineuropathische Co-Analgetika, wie trizyklische Antidepressiva, SSNRI \u2013 Antidepressiva und Antiepileptika, zu Anwendung, um die Nervenschmerzen zu lindern. Opioide sind nur 3-4. Wahl. Hingegen haben lokale \/ topische Medikamente (Cr\u00e8mes\/Gels), Lokalan\u00e4sthetika (Lidocain Gel\/Patch), Chili- Extrakt (Capsaicin-Pflaster 8% Qutenza\u00ae) einen hohen Stellenwert. Des Weiteren k\u00f6nnen, abh\u00e4ngig vom Hautareal, interventionelle Behandlungen in Erw\u00e4gung gezogen werden (periphere Nervenblockaden, gepulste Radiofrequenzbehandlung, Cryoneurolyse, R\u00fcckenmarksstimulation) sowie transkutane elektrische Nervenstimulation (TENS).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Seit einigen Jahren kann durch eine VZV-Impfung die Erkrankungswahrscheinlichkeit f\u00fcr G\u00fcrtelrose verringert und eine damit verbundenen m\u00f6glichen Post-Herpetischen-Neuralgie (PHN) vermindert werden.<\/p>\n","notice_enabled":"false","notice_title":"","notice_text":"","section_image":"","section_image_caption":""}},"cpt_highlights":"","cpt_downloads":"","cpt_sort_date":""},"class_list":["post-3247","forschungen","type-forschungen","status-publish","hentry"],"yoast_head":"\nG\u00fcrtelrose - Swiss Society for Interventional Pain Management (SSIPM) | Schmerzmedizin Schweiz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/issz.ch\/beschwerden\/nervenschmerz\/guertelrose\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"G\u00fcrtelrose - Swiss Society for Interventional Pain Management (SSIPM) | Schmerzmedizin Schweiz\" \/>\n<meta property=\"og:url\" content=\"https:\/\/issz.ch\/beschwerden\/nervenschmerz\/guertelrose\/\" \/>\n<meta property=\"og:site_name\" content=\"Swiss Society for Interventional Pain Management (SSIPM) | Schmerzmedizin Schweiz\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-26T14:50:14+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ssipm.ch\\\/it\\\/forschungen\\\/guertelrose\\\/\",\"url\":\"https:\\\/\\\/issz.ch\\\/beschwerden\\\/nervenschmerz\\\/guertelrose\\\/\",\"name\":\"G\u00fcrtelrose - 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