Physical examination and symptoms vary depending on location of the lesions. Infection begins a chronological development of symptoms. First, the prodrome occurs, then lesions appear along with constitutional signs and symptoms. Lesions coalesce, and tender bilateral lymphadenopathy develops. Lesions usually heal over the next several weeks.
Lesions usually are vesicular or ulcerative on an erythematous base and are very painful.
HSV-1 is transmitted through direct contact with infected saliva or direct contact with contaminated utensils. Most patients may be treated in the outpatient setting. Ophthalmologist for keratoconjunctivitis Obstetrician for active genital herpes in a near-term pregnancy Outpatient dermatologist for differentiation of skin infections. These drugs inhibit virus replication and may suppress clinical manifestations but are not a cure for the disease. Since HSV remains latent in sensory ganglia, the rate of relapse is similar in both treated and untreated patients.