Herpes simplex physical examination

Sexually transmitted diseases Main Page
Herpes simplex Microchapters
Home
Patient Information
Genital Herpes
Congenital Herpes
Overview
Classification Orofacial Infection Anogenital Infection Ocular Infection Herpes Encephalitis Neonatal Herpes Herpetic Whitlow Herpes Gladiatorum Mollaret's Meningitis
Pathophysiology
Epidemiology and Demographics
Asymptomatic Shedding
Recurrences and Triggers
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Direct detection of Genital Lesions
Treatment
Antiviral Therapy Overview Antivirals for First Episode of Genital Herpes Antivirals for Recurrent Genital Herpes
Primary Prevention
Counseling
Herpes simplex physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Herpes simplex physical examination
CDC on Herpes simplex physical examination
Herpes simplex physical examination in the news
Blogs on Herpes simplex physical examination
Directions to Hospitals Treating Herpes simplex
Risk calculators and risk factors for Herpes simplex physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

On physical examination multiple, round, superficial oral ulcers accompanied by acute gingivitis can be seen. Also lymphadenopathy, gingivitis and tonsillitis may accompany the primary lesions .

Physical Examination

1) Blisters or ulcers

• 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. Whereas, 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/crop

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.

Image shown below is courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

• 
  Herpes simplex caused nail disease.
• 
  Herpes simplex genitalis.
• 
  Herpes simplex caused genitalis.
• 
  Herpes on female genitalia.

• 
  Herpes on face
• 
  Herpes genitalis
• 
  Herpes on male genitalia

• 
  Herpes simplex.