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2011, Number 5

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Arch Med Actual Trac Gen Inf 2011; 3 (5)

Herpes Genital
Una actualización para el profesional

Meylan P

Language: Spanish
References: 32
Page: 3-15
PDF size: 215.38 Kb.


ABSTRACT

The herspesviruses HSV-1 et HSV-2 classically infect the oral and genital area respectively. Those two viral types descend from a common ancestor but have evolved separately since several million years, getting each adapted to these sites. Thus, while both virus can infect either site, HSV-1 reactivates frequently in the oral area, whereas HSV-2 does so in the genital area. The followings facts are stressed, because we think they are new, or insufficiently noticed though worth attention regarding HSV epidemiology (plateauing of the HSV-2 epidemic in the US, growing share of HSV-1 as a genital herpes agent), clinical expression (extra-oral and extra-genital lesions, severity of gingivostomatitis), diagnosis (confusing herpes and zoster in the trigeminal and sacral areas) and treatment of genital herpes (relative worth of suppressive and episodic treatments as well as shortening of these latter) and oral herpes (treating gingivostomatitis and herpes labialis).


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