Skip to main content

Herpes Simplex

Sonia Rivera-Martinez, DO, FACOFP and Sharon L. Koehler, DO, FACS Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Characteristic vesicular rash primarily located in oral and genital regions as the result of infection with

    • Herpes simplex virus (HSV)-1 blisters mostly on lips, in mouth, face, eye...

DIAGNOSIS

HISTORY

  • Many patients are unaware of a known exposure.

  • Prodrome of fatigue, low-grade fever, itching, tingling, or hot skin for several days immediately prior to outbreak of characteristic ves...

TREATMENT

GENERAL MEASURES

  • Cool dressings moistened with aluminum acetate solution

  • Pouring a cup of warm water over genitals while urinating or by sitting in a warm bath while urinating (sitz baths) if ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • For most routine cases, follow-up is not necessary. Lesions and symptoms resolve rapidly within 10 days. Extensive cases should be rechecked in 1 week; monitor fo...

REFERENCES

1
Sauerbrei A. Optimal management of genital herpes: current perspectives. Infect Drug Resist.  2016;9:129–141. [View Abstract on OvidMedline]
2
Pinninti SG, Kimberlin DW. Neonatal herpe...

ADDITIONAL READING

Harmenberg J, Oberg B, Spruance S. Prevention of ulcerative lesions by episodic treatment of recurrent herpes labialis: a literature review. Acta Derm Venereol.  2010;90(2):122...

SEE ALSO

  • Herpes, Genital

  • Algorithm: Genital Ulcers

CODES

ICD10

  • B00.9 Herpesviral infection, unspecified

  • A60.00 Herpesviral infection of urogenital system, unspecified

  • B00.1 Herpesviral vesicular dermatitis

  • P35.2 Congenital herpesviral [herpes simplex] inf...

CLINICAL PEARLS

  • Up to 25–30% of the U.S. population has serologic evidence of genital herpes (HSV-2), and >80% is seropositive for HSV-1.

  • Most individuals are unaware they are infected, allowing for...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×