Herpes

Overview


Plain-Language Overview

Herpes is a common viral infection caused by the herpes simplex virus (HSV) that primarily affects the skin and mucous membranes. It often causes painful blisters or sores around the mouth or genital area. The virus can remain dormant in nerve cells and reactivate later, leading to recurrent outbreaks. Transmission occurs through direct contact with infected bodily fluids or lesions. The infection mainly impacts the nervous system and skin, causing discomfort and sometimes complications. Many people carry the virus without symptoms but can still spread it to others.

Clinical Definition

Herpes refers to infections caused by herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), which are double-stranded DNA viruses of the Herpesviridae family. The core pathology involves viral entry into epithelial cells followed by latency in sensory ganglia, with periodic reactivation causing mucocutaneous lesions. HSV-1 typically causes oral herpes, while HSV-2 is more commonly associated with genital herpes, though overlap occurs. The infection is characterized by painful vesicular eruptions, often preceded by prodromal symptoms such as burning or tingling. Major clinical significance includes potential for neonatal herpes, herpes encephalitis, and increased risk of HIV acquisition. Diagnosis and management focus on identifying active lesions and preventing transmission.

Inciting Event

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Latency Period

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Diagnostic Delay

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Clinical Presentation


Signs & Symptoms

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History of Present Illness

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Past Medical History

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Family History

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Physical Exam Findings

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Diagnostic Workup


Diagnostic Criteria

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Pathophysiology


Key Mechanisms

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Organs

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Tissues

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Cells

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Chemical Mediators

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Treatments


Pharmacological Treatments

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Non-pharmacological Treatments

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Prevention


Pharmacological Prevention

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Non-pharmacological Prevention

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Outcome & Complications


Complications

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Short-term Sequelae

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Long-term Sequelae

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Differential Diagnoses


Differentials

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