Table of ContentsView AllTable of ContentsRashesShingles SymptomsPoison Ivy SymptomsCausesTreatmentPrevention

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Table of Contents

Rashes

Shingles Symptoms

Poison Ivy Symptoms

Causes

Treatment

Prevention

Shinglesandpoison ivycan both cause a blistering rash that can look very similar, so you may wonder how to tell the difference. Even though the rashes look much the same, their causes, treatments, and prevention are different.

Although shingles and contact dermatitis from poison ivy both lead to small blisters, they are different in that shingles is very painful and the rash is limited to one part of the body. In contrast, the rash of poison ivy is incredibly itchy, with less pain, and can be found anywhere on the body.

This article discusses shingles and poison ivy rashes, focusing on symptoms and key differences.

Suriyawut Suriya / Getty Images

shingles rash

Shingles Rash vs. Poison Ivy Rash

Though these rashes can look similar, shingles and poison ivy rashes have some distinct differences.

Shingles

Typically, the rash shows up in a single area of the body—often on the torso—and creates a stripe or a band along the body.This line occurs because shingles is a viral rash that affects nerves under the skin.

Can Shingles Be Everywhere on the Body?It is very rare for a person to have widespread shingles all over the body.This usually only occurs in people who areimmunocompromised(having a weakened immune system, making them less able to fight off infections).

Can Shingles Be Everywhere on the Body?

It is very rare for a person to have widespread shingles all over the body.This usually only occurs in people who areimmunocompromised(having a weakened immune system, making them less able to fight off infections).

Poison Ivy

Poison ivy is a plant with leaves that contain an oil that causes an allergic reaction on the skin.

The poison ivy rash is a form ofcontact dermatitis. It occurs in areas of the skin where people are exposed to poison ivy.

A poison ivy rash looks like small red bumps and blisters with skin swelling.It is incredibly itchy.

Is Poison Ivy Contagious?

Other Plants Like Poison IvyOther plants also carry the same toxin as poison ivy, including poison oak andpoison sumac.

Other Plants Like Poison Ivy

Other plants also carry the same toxin as poison ivy, including poison oak andpoison sumac.

This photo contains content that some people may find graphic or disturbing.See PhotoReproduced with permission from ©DermNet NZ www.dermnetnz.org 2022.

This photo contains content that some people may find graphic or disturbing.See Photo

This photo contains content that some people may find graphic or disturbing.

Shingles on the head

Reproduced with permission from ©DermNet NZ www.dermnetnz.org 2022.

Additional Shingles Symptoms

In addition, people with shingles often have a burning pain under the skin before the rash appears.

Overall, shingles is more painful than poison ivy.

Complications of ShinglesPeople can develop complications with shingles, the most common beingpostherpetic neuralgia. Postherpetic neuralgia is chronic pain in the area of the rash.

Complications of Shingles

People can develop complications with shingles, the most common beingpostherpetic neuralgia. Postherpetic neuralgia is chronic pain in the area of the rash.

Additional Poison Ivy Symptoms

While the poison ivy rash is incredibly itchy, it is not associated with other systemic symptoms. It is also not as painful as shingles.

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Shingles and Poison Ivy Causes

Though they can present similarly, shingles and poison ivy have different causes.

Typically, people have only one episode of shingles in a lifetime. Triggers for reactivation includestress, infection, and certain medications.

Anyone who has had chickenpox can develop shingles, but it is most common in people over age 50.Other groups of people who are at higher risk of developing shingles include:

How Common Is Shingles?According to the Centers for Disease Control and Prevention (CDC), one out of every three people will develop shingles at some point.

How Common Is Shingles?

According to the Centers for Disease Control and Prevention (CDC), one out of every three people will develop shingles at some point.

Anyone who works and plays in outdoor environments can develop poison ivy. The plant is found everywhere in the United States except in Alaska and Hawaiibut is mainly found in the East and Midwest. Poison oak is common on the West Coast and southeastern United States, while poison sumac tends to grow in the eastern and southern states, in wet and wooded areas.

Often, people associate poison ivy with forests and trail areas, but it can even be found in your backyard.

Shingles requires treatment with prescriptionantiviral medicationand sometimes prescription pain medicine.If you think you have a shingles rash, you should see a healthcare provider right away.

Shingles VaccinationAn effective vaccine,Shingrix, is available to help prevent shingles. It is recommended for people age 50 and older.

Shingles Vaccination

An effective vaccine,Shingrix, is available to help prevent shingles. It is recommended for people age 50 and older.

People can manage contact dermatitis from poison ivy at home. Typically,treatmentsinclude:

Though it will be difficult to avoid scratching the rash since it’s so itchy, it’s important to not scratch a poison ivy rash. Scratching can lead to infection.

When determining the cause of your rash, consider what other symptoms you have and whether you had any recent exposures. Also, remember that shingles is pretty painful.

If you are unsure about the cause of your rash, it is always wise to seek medical evaluation.

Key Differences Between Shingles and Poison IvyShinglesRash of Poison IvyCauseVaricella-zoster virus (the same virus that causes chickenpox)Contact with the oil on the leaves of the poison ivy plant (or poison oak or poison sumac)CharacteristicsPainful, burning blisters that become ulcers in a band-like distributionItchy, red bumps and blisters anywhere on the bodySymptomsChills, headache, body aches, upset stomachItchinessTreatmentAntiviral medication and pain medicineCalamine lotion, oatmeal bath, hydrocortisone cream, oral antihistaminePreventionVaccinationWearing long clothing in wooded areasPreventionYour best chance at preventing shingles is to get vaccinated with the Shingrix vaccine. The Centers for Disease Control and Prevention (CDC) recommends that adults 50 years and older and adults 19 years and older who have weakened immune systems get two doses of the shingles vaccine. In adults, 50 to 69 years old, is 97% effective in preventing shingles and 91% effective in adults 70 years and older.Ways to prevent contact with poison ivy include:Learn to identify the plant.Each leaf has three glossy leaflets, with smooth or toothed edges. Leaves are reddish in spring, green in summer, and yellow, orange, or red in fall. They may have greenish-white flowers and whitish-yellow berries.Avoid the plant.When hiking, stay on cleared paths. If camping, pitch your tent in a cleared area.Wear protective clothing. Long sleeves, long pants tucked into boots, and impermeable gloves if gardening.Wash your skin or pet’s fur.If you’ve been exposed, wash your skin in soap and cool water as soon as possible to remove the resin and minimize the spread. If your pet may have brushed up against poison ivy, use pet shampoo and water while wearing rubber gloves to prevent spreading it.Clean contaminated objects.Wash garden tools, gloves, clothing, jewelry, shoes, and other objects that may have come in contact with the resin in warm soapy water.SummaryThe rashes that result from shingles and poison ivy can look very similar, as they both lead to blisters on the skin. However, it’s important to distinguish them since their treatment is very different.Shingles is a painful rash usually in one area of the body. It often occurs in people over age 50 and has associated systemic symptoms. The rash of poison ivy (contact dermatitis) is very itchy and can occur in people of any age on any part of the body when the skin is exposed to the poison ivy plant.Poison ivy can usually be treated at home without any major medical intervention. However, if you think you may have shingles, see your healthcare provider to discuss treatment options.

Your best chance at preventing shingles is to get vaccinated with the Shingrix vaccine. The Centers for Disease Control and Prevention (CDC) recommends that adults 50 years and older and adults 19 years and older who have weakened immune systems get two doses of the shingles vaccine. In adults, 50 to 69 years old, is 97% effective in preventing shingles and 91% effective in adults 70 years and older.

Ways to prevent contact with poison ivy include:

Summary

The rashes that result from shingles and poison ivy can look very similar, as they both lead to blisters on the skin. However, it’s important to distinguish them since their treatment is very different.

Shingles is a painful rash usually in one area of the body. It often occurs in people over age 50 and has associated systemic symptoms. The rash of poison ivy (contact dermatitis) is very itchy and can occur in people of any age on any part of the body when the skin is exposed to the poison ivy plant.

Poison ivy can usually be treated at home without any major medical intervention. However, if you think you may have shingles, see your healthcare provider to discuss treatment options.

7 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.MedlinePlus.Shingles.Centers for Disease Control and Prevention.Shingles (herpes zoster).Centers for Disease Control and Prevention.Poisonous plants.Centers for Disease Control and Prevention.About shingles (herpes zoster).Centers for Disease Control and Prevention.Shingles vaccination.American Academy of Dermatology Association.Poison ivy, oak, and sumac: how to treat the rash.U.S. Food and Drug Administration.Outsmarting poison ivy and other poisonous plants.

7 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.MedlinePlus.Shingles.Centers for Disease Control and Prevention.Shingles (herpes zoster).Centers for Disease Control and Prevention.Poisonous plants.Centers for Disease Control and Prevention.About shingles (herpes zoster).Centers for Disease Control and Prevention.Shingles vaccination.American Academy of Dermatology Association.Poison ivy, oak, and sumac: how to treat the rash.U.S. Food and Drug Administration.Outsmarting poison ivy and other poisonous plants.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

MedlinePlus.Shingles.Centers for Disease Control and Prevention.Shingles (herpes zoster).Centers for Disease Control and Prevention.Poisonous plants.Centers for Disease Control and Prevention.About shingles (herpes zoster).Centers for Disease Control and Prevention.Shingles vaccination.American Academy of Dermatology Association.Poison ivy, oak, and sumac: how to treat the rash.U.S. Food and Drug Administration.Outsmarting poison ivy and other poisonous plants.

MedlinePlus.Shingles.

Centers for Disease Control and Prevention.Shingles (herpes zoster).

Centers for Disease Control and Prevention.Poisonous plants.

Centers for Disease Control and Prevention.About shingles (herpes zoster).

Centers for Disease Control and Prevention.Shingles vaccination.

American Academy of Dermatology Association.Poison ivy, oak, and sumac: how to treat the rash.

U.S. Food and Drug Administration.Outsmarting poison ivy and other poisonous plants.

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