Herpes simplex physical examination: Difference between revisions
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{{Herpes simplex}} | {{Herpes simplex}} | ||
{{CMG}}; {{AE}} {{CZ}} {{JH}} | {{CMG}}; {{AE}} {{CZ}}, {{JH}} | ||
==Overview== | ==Overview== | ||
On physical examination multiple, round, superficial oral ulcers accompanied by acute [[gingivitis]] can be seen. | On physical examination multiple, round, superficial [[oral ulcers]] accompanied by acute [[gingivitis]] can be seen. [[Lymphadenopathy]], [[gingivitis]], and [[tonsillitis]] may accompany the primary lesions.<ref name="pmid17939933">{{cite journal |author=Fatahzadeh M, Schwartz RA |title=Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis, and management |journal=J. Am. Acad. Dermatol. |volume=57 |issue=5 |pages=737–63; quiz 764–6 |year=2007 |pmid=17939933 |doi=10.1016/j.jaad.2007.06.027}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
1) Blisters or ulcers | 1) [[Blisters]] or [[ulcers]] | ||
* Site - In orofacial herpes/[[herpes simplex]] 1 the [[ulcer]]s are commonly found on [[lip]]s, gums, [[throat]], front of [[tongue]], inside of the cheeks and roof of the mouth. | * Site - In orofacial herpes/[[herpes simplex]] 1 the [[ulcer]]s are commonly found on [[lip]]s, gums, [[throat]], front of [[tongue]], inside of the cheeks, and roof of the mouth. These occur around genitalia in cases of [[genital herpes]]/herpes simplex 2. | ||
* Size - Generally small (2-5 mm) | * Size - Generally small (2-5 mm) | ||
* Shape - Round | * Shape - Round | ||
* The lesions may occur in groups/ | * The lesions may occur in groups/crops | ||
2) [[Lymphadenopathy]] (cervical, Inguinal glands) | 2) [[Lymphadenopathy]] (cervical, Inguinal glands) | ||
Revision as of 18:43, 31 May 2017
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Herpes simplex physical examination On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Jesus Rosario Hernandez, M.D. [3]
Overview
On physical examination multiple, round, superficial oral ulcers accompanied by acute gingivitis can be seen. Lymphadenopathy, gingivitis, and tonsillitis may accompany the primary lesions.[1]
Physical Examination
- Site - In orofacial herpes/herpes simplex 1 the ulcers are commonly found on lips, gums, throat, front of tongue, inside of the cheeks, and roof of the mouth. These occur around genitalia in cases of genital herpes/herpes simplex 2.
- Size - Generally small (2-5 mm)
- Shape - Round
- The lesions may occur in groups/crops
2) Lymphadenopathy (cervical, Inguinal glands)
3) Gingivitis and tonsillitis in herpes simplex 1
The following image is an example of how the Herpes simplex virus can cause nail disease.
Gallery
Skin
Genitourinary System
Head
Extremities
Neck
Gallery
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![Image depicts the right foot of an infant born with a herpes simplex infection, known as neonatal herpes, or herpes simplex neonatorum, which had manifested itself through the development of maculopapular lesions of the foot’s heal and sole. From Public Health Image Library (PHIL). [2]](/images/0/01/Human_herpesvirus01.jpeg)
Image depicts the right foot of an infant born with a herpes simplex infection, known as neonatal herpes, or herpes simplex neonatorum, which had manifested itself through the development of maculopapular lesions of the foot’s heal and sole. From Public Health Image Library (PHIL). [2] -
![Photograph depicts a 70 year-old Cardiff, Wales female is a chronic lymphocytic leukemia patient. Patient exhibiting an indolent chronic oral herpes simplex ulcer. This patient had been vaccinated for “therapy” of this ulcer, and subsequently developed vaccinia necrosum, also known as progressive vaccinia. From Public Health Image Library (PHIL). [2]](/images/2/26/Human_herpesvirus02.png)
Photograph depicts a 70 year-old Cardiff, Wales female is a chronic lymphocytic leukemia patient. Patient exhibiting an indolent chronic oral herpes simplex ulcer. This patient had been vaccinated for “therapy” of this ulcer, and subsequently developed vaccinia necrosum, also known as progressive vaccinia. From Public Health Image Library (PHIL). [2]
![Image depicts the right foot of an infant born with a herpes simplex infection, known as neonatal herpes, or herpes simplex neonatorum, which had manifested itself through the development of maculopapular lesions of the foot’s heal and sole. From Public Health Image Library (PHIL). [2]](/index.php/File:Human_herpesvirus01.jpeg)
![Photograph depicts a 70 year-old Cardiff, Wales female is a chronic lymphocytic leukemia patient. Patient exhibiting an indolent chronic oral herpes simplex ulcer. This patient had been vaccinated for “therapy” of this ulcer, and subsequently developed vaccinia necrosum, also known as progressive vaccinia. From Public Health Image Library (PHIL). [2]](/index.php/File:Human_herpesvirus02.png)
References
- ↑ Fatahzadeh M, Schwartz RA (2007). "Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis, and management". J. Am. Acad. Dermatol. 57 (5): 737–63, quiz 764–6. doi:10.1016/j.jaad.2007.06.027. PMID 17939933.
- ↑ 2.0 2.1 "Public Health Image Library (PHIL)".