HERPES SIMPLEX

HERPES SIMPLEX        
     
Essentials of Diagnosis
                     It involves orolabial and genital areas.
                     There develop small grouped vesicles on an erythematous base.
                     Regional lymph glands become swollen and tender.
                     Tzanck smear is positive for multinucleated giant cells.
                     Main symptom is burning and stinging.
                     Neuralgia is severe.
                     Lesions heal with in a week.
                     It is the main cause of genital ulceration.

Treatment
o   Acyclovir is very effective. It may even be given IV dose is 200 mg five times daily for 7-10 days.
In recurrent cases 400 mg twice daily of Acyclovir for many days is advised.