Commonly affected joints include the fingers, toes, wrists, and ankles.

In a small number of patients, joint symptoms start prior to skin symptoms.

After having chickenpox, the virus stays in your body and usually doesnt cause any problems.

Shingles vaccine in psoriatic arthritis patients

Hailshadow / Getty Images

However, the virus can reemerge as shingles later in life.

One of the most common causes of a psoriasis flare isstress.This stress can include skin injury or harm.

Shingles lesions cause skin damage in a way that can lead to new psoriasis lesions.

Previously, there were two shingles vaccine options:ShingrixandZostavax.

However, Zostavax is no longer available for use in the United States.

Shingrix

Shingrixis the only vaccine available in the United States for protection against shingles.

The Shingrix vaccine is a two-shot series.

People should obtain the second injection two to six months after the first injection.

The vaccine is 90% effective at preventing shingles and its painful complication,postherpetic neuralgia.

However, the vaccine is no longer available for use in the United States.

A live vaccine can potentially lead to actual infection after vaccination in people with weak immunity.

Since people with psoriatic arthritis often take immune-modulating medicines, Zostavax would not be a good choice for vaccination.

More often, shingles can be debilitating due to the severe pain associated with the skin lesions.

A person can develop postherpetic neuralgia, chronic pain in the area of the previous rash.

Vaccination with Shingrix can prevent all of these problems.

The shingles vaccine is very effective.

There is a slight risk of developingGuillain-Barre syndromeafter Shingrix vaccination.

You should also discuss persistent post-vaccination symptoms lasting longer than three days with your provider.

Is the Shingles Vaccine Right for Me?

Most likely, your provider will recommend vaccination.

In addition, people with psoriasis who develop shingles can develop worsening skin lesions.

Therefore, vaccination against shingles is recommended, especially for people taking immunosuppressive therapy.

There are two types of vaccines, but only one is available in the United States: Shingrix.

The Shingrix vaccine is not a live vaccine.

It is safe and effective in people with psoriasis and psoriatic arthritis, and it has very few contraindications.

Fortunately, there are very few risks associated with shingles vaccination.

The Shingrix vaccine is safe and effective in preventing the painful shingles rash that can only worsen your PsA.

Shingrix is not a live vaccine and is recommended for people with psoriasis or psoriatic arthritis.

A psoriatic flare is not a side effect of the Shingrix vaccine.

Shingrix is safe and recommended for people with psoriasis and psoriatic arthritis.

Shingrix is safe for people with psoriasis and psoriatic arthritis.

Additionally, the side effects from vaccination are benign and short-lived.

2017;12(8):e0179447.

2021;13(6):e15860.

2015;94(26):e1009.

2019;81(1):102-110. doi:10.1016/j.jaad.2019.03.017

Centers for Disease Control and Prevention.What everyone should know about Zostavax.

Centers for Disease Control and Prevention.Shingles vaccination.

Centers for Disease Control and Prevention.General best practices for immunization.

Arvas A.Vaccination in patients with immunosuppression.Turk Pediatri Ars.

2014;49(3):181-185. doi:10.5152/tpa.2014.2206

Centers for Disease Control and Prevention.Shingles symptoms and complications.

2021;60(3):1226-1233. doi:10.1093/rheumatology/keaa424