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Cutaneous herpes simplex infections.

A Mindel1, O Carney, P Williams

  • 1Academic Department of Genitourinary Medicine, University College and Middlesex School of Medicine, University College London, Middlesex Hospital, UK.

Genitourinary Medicine
|February 1, 1990
PubMed
Summary
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Extragenital cutaneous herpes simplex infections are common, appearing on various body parts beyond the genital area. Herpes simplex virus (HSV) should be considered for any blistering skin condition.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Virology

Background:

  • Genital herpes, primarily caused by herpes simplex virus (HSV), is a common sexually transmitted infection.
  • Cutaneous manifestations of HSV can extend beyond the genital region, presenting diagnostic challenges.

Purpose of the Study:

  • To investigate the clinical characteristics and progression of cutaneous herpes simplex infections in patients with genital herpes.
  • To understand the frequency and distribution of extragenital herpes simplex virus (HSV) lesions.

Main Methods:

  • A retrospective case note analysis was conducted.
  • Data from 123 patients presenting with cutaneous herpes simplex infections between 1983 and 1987 were reviewed.

Main Results:

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  • The most frequent extragenital sites included the buttocks (34%), suprapubic area (15%), and thighs (7.5%).
  • Over a quarter of patients (28%) exhibited involvement of multiple anatomical sites.
  • Recurrences were observed with comparable frequency in both genital and extragenital locations.

Conclusions:

  • Extragenital cutaneous herpes simplex is a frequent occurrence, with lesions potentially manifesting anywhere on the body.
  • Herpes simplex virus (HSV) must be included in the differential diagnosis for any vesiculating skin lesions.
  • Awareness of extragenital spread is crucial for accurate diagnosis and management of herpes simplex virus infections.