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.