Herpes simplex virus - Anogenital in
See also in: Overview,Cellulitis DDxAlerts and Notices
Synopsis
Infection by the virus is acquired from direct contact with active lesions, and symptoms develop within 5-10 days of initial contact. However, it is important to note that even when asymptomatic, a person sheds the virus and so can transmit the disease to another. In some adolescents, primary infection can be severe and include symptoms of aseptic meningitis such as fever, headache, stiff neck, and photophobia. In girls, there can be severe local symptoms of pain, dysuria, and vaginal discharge.
Childhood sexual abuse is a problem of epidemic proportions affecting children of all ages and of all economic and cultural backgrounds. Although awareness is increasing, it is often challenging to differentiate findings attributable to child abuse from those of other benign anogenital skin conditions.
Codes
ICD10CM:B00.1 – Herpesviral vesicular dermatitis
SNOMEDCT:
88594005 – Herpes simplex
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Molluscum contagiosum – Lesions are usually not painful, are slow to evolve, and are rarely grouped.
- Impetigo
- Fixed drug eruption
- Candidiasis
- Varicella
- Incontinentia pigmenti (newborns)
- Herpes zoster
- Contact dermatitis
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Management Pearls
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Therapy
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References
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Last Reviewed:12/14/2016
Last Updated:02/04/2016
Last Updated:02/04/2016
Herpes simplex virus - Anogenital in
See also in: Overview,Cellulitis DDx