Herpes simplex physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

On physical examination multiple, round, superficial oral ulcers accompanied by acute gingivitis can be seen. Also lymphadenopathy, gingivitis and tonsillitis may be accompanied with the primary lesions.

Physical examination

On physical examination following features could be seen:

1) Blisters or Ulcers

    • Site - In orofacial herpes/ herpes simplex 1 the ulcers are commonly found on lips, gums, throat, front of tongue, inside of the cheeks and roof of the mouth. Whereas, these occur around genitalia and anus in cases of genital herpes/herpes simplex 2.
    • Size - Generally small (2-5 mm)
    • Shape - Round
    • The lesions may occur in groups/crop

2) Lymphadenopathy (cervical, Inguinal glands)

3) Gingivitis and tonsillitis in herpes simplex 1

References

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