Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

Information for Patients

View all Images (9)

Herpes simplex virus - Anogenital in
See also in: Overview,Cellulitis DDx
Other Resources UpToDate PubMed

Herpes simplex virus - Anogenital in

See also in: Overview,Cellulitis DDx
Contributors: Susan Burgin MD, Eric Ingerowski MD, FAAP, Belinda Tan MD, PhD, Mary Spencer MD, Ann Lenane MD, Sireesha Reddy MD, Amy Swerdlin MD, Manasi Kadam Ladrigan MD, Carol Berkowitz MD
Other Resources UpToDate PubMed

Synopsis

Genital herpes simplex is a viral infection that is caused by herpes simplex virus type 2 (HSV-2) and herpes simplex virus type 1 (HSV-1). It is seen frequently in sexually active adolescents but can also occur in younger children. Nonsexual acquisition by vertical transmission can take place at the time of birth, by hand contact during diapering, or by autoinoculation. However, new genital herpetic lesions in children without a history of perinatal acquisition who have independent toileting are suspicious for abuse and should be evaluated. Both types may be due to sexual abuse. An associated history of recurrent herpes gingivostomatitis or herpetic whitlow argues against abuse.

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.

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

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:12/14/2016
Last Updated:02/04/2016
Copyright © 2023 VisualDx®. All rights reserved.
Patient Information for Herpes simplex virus - Anogenital in
Print E-Mail Images (9)
Contributors: Medical staff writer
Premium Feature
VisualDx Patient Handouts
Available in the Elite package
  • Improve treatment compliance
  • Reduce after-hours questions
  • Increase patient engagement and satisfaction
  • Written in clear, easy-to-understand language. No confusing jargon.
  • Available in English and Spanish
  • Print out or email directly to your patient
Copyright © 2023 VisualDx®. All rights reserved.
Herpes simplex virus - Anogenital in
See also in: Overview,Cellulitis DDx
A medical illustration showing key findings of Herpes simplex virus : Grouped configuration, Recurring episodes or relapses, Umbilicated vesicle
Clinical image of Herpes simplex virus - imageId=111180. Click to open in gallery.  caption: 'A close-up of grouped cloudy vesicles on an erythematous base.'
A close-up of grouped cloudy vesicles on an erythematous base.
Copyright © 2023 VisualDx®. All rights reserved.