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Herpes Simplex

Skin disorders due to infection with herpes simplex virus (HSV) Type 1 or 2 may affect any cutaneous site, although HSV Type 1 is considered the skin and oral mucous membrane strain, and HSV Type 2 is the most frequent virus strain found in herpes simplex genitalis. The typical lesions are characterized by vesicles on an erythematous background. The highest rate of HSV infections is in early childhood, the first infection being often inapparent. Transmission is by droplet or smear infection. Gingivostomatitis herpetica is the commonest clinical manifestation of primary HSV infection in children and is usually due to HSV1. The severity of symptoms in otherwise healthy children varies widely. Small vesicles may be present on the palate, gingiva, lips and buccal mucosa. There is often painful swelling of the regional lymph nodes as well as halitosis and perioral lesions.

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