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.