The term "the
herpes" generally refers to a sexually-transmitted,
double-stranded DNA virus, called
herpes simplex virus (HSV) type
2 (also known as human herpesvirus
2, or HHV2). This virus is closely
related to herpes simplex virus
type 1 (HSV-1 or HHV1) , which is
the cause of common nonsexually-transmitted
cold sores. These two viruses are
among the eight members of the herpes
virus family to infect humans, causing
a variety of illnesses ranging from
cold sores to brain infection (encephalitis)
to chicke npox to various cancers.
HSV-1 and
HSV-2 are members of the Alphaherpesvirus
subfamily. HSV-1 (usually the cause
of oral herpes which many people
call "cold sores") can also be spread
to the genitals via oral sex. HSV-2
(usually the cause of genital herpes)
can also be spread to the oral region,
although this is somewhat less common.
For most people who carry the HSV-1
and/or HSV-2 virus, symptoms are
mild, infrequent, or altogether
un-noticeable. However, people who
carry the virus may still shed the
virus from their skin when no symptoms
are present, and unknowingly transmit
the virus to their partners. This
is called "asymptomatic shedding."
In one study, approximately 70%
of new cases of genital herpes were
the result of intimate contact with
a partner who had no signs or symptoms
at the time.
According
to the American Social Health Association
(ASHA): - About 50 to 80 percent
of American adults have oral herpes,
which is commonly called cold sores
or fever blisters. - About one in
five adults in the United States
has genital herpes. However, most
people (up to 90%) don’t know they
are infected because their symptoms
are too mild to notice or mistaken
for another condition.
Orofacial infection
Herpesviral vesicular dermatitis
Classification & external resources
Infectious fluid-filled blister
on lower lip (herpes labialis) ICD-10
B00.1
1. Prodromal symptoms
2. Skin appears irritated
3. Sore or cluster of fluid-filled
blisters appear
4. Lesion begins to heal, usually
without scarring
It is estimated that 50% of adults
in the United Kingdom are carriers
of the Herpes Simplex Virus, many
of whom will never exhibit any symptoms
of infection. Similarly, 50% of
Americans have HSV-1 antibodies
in their blood by the time they
have become young adults, and by
age 50 or over, 80-90% of Americans
have HSV-1 antibodies .[2] In the
absence of a coldsore one may also
transmit the virus through the skin.
Oral herpes lesions typically occur
on the lips, on the fixed mucosa
inside the mouth, including the
hard palate (roof of the mouth),
and gingiva (gums), but can occur
almost anywhere on the face. Oral
herpes and cold sores can sometimes
be confused with canker sores.
Genital infection Anogenital herpesviral
infection Classification & external
resources ICD-10 A60. MeSH D006558
1. Prodromal symptoms
2. Itching in affected area
3. Sore appears
4. Lesion begins to heal, usually
without scarring.
In males, the lesions may occur
on the shaft of the penis, in the
genital region, on the inner thigh,
buttocks, or anus. In females, lesions
may occur on or near the pubis,
labia, clitoris, vulva, buttocks,
or anus. Symptoms can be confused
with that of chlamydia or gonorrhea,
so careful observation by a doctor
is important.
The appearance of herpes lesions
and the experience of outbreaks
in these areas varies tremendously
among individuals. Herpes lesions
on or near the genitals may look
like cold sores. An outbreak may
look like a paper cut, or chafing,
or appear to be a yeast infection.
Symptoms of a genital outbreak may
include aches and pains in the area,
discharge from the penis or vagina,
and severe discomfort and burning
when urinating.