Lectures

Herpes Simplex (HSV)

by Carlo Raj, MD
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    Herpes. HSV 1, often referred to as being your sore or cold sore that you see here in this patient. HSV 2 is associated with genital type of herpes. Remember that HSV1 if it ever affects the brain, may result in damage or influences and affects the frontal and temporal lobe whereas if it’s HSV 2 and it affects the brain, think of TORCHES and you’re thinking about diffuse involvement of the brain. Overlap can occur between the two viruses. Small, fluid-filled vesicles as you can imagine with an erythematous type of base. HSV 2, genital. HSV 1, more commonly oral. Morphology: Dew drops on a rose petal, same description that we’ve seen earlier with chicken pox. Both of these organism come under the family of herpes. So therefore, the vesicles remain, well, in description-wise, pretty similar. Fluid-filled vesicles with an erythematous base tend to occur in the same area during stress or illness and often painful when actually active. Herpes simplex. Demographics: Up to 1 in 6. Some would say 1 in 4 nowadays with the genital herpes, which is HSV 2. So it’s almost like if you don’t have this, there’s something wrong with you. It’s amazing that is it’s as high as you see here. An even higher number have oral herpes, referring to your HSV 1 or cold sores. As soon as you hear herpes, what are you thinking about? Tzanck smear. And if you’re thinking about the skin, what are you going to find? What we saw earlier, multinucleated keratinocytes and we have identical to that seen with zoster, which is what, please? Reactivation of your VSV from the dorsal root ganglion, and therefore, following a dermatome type of appearance causing pain, pain, pain. Keep things simple. Herpes, Tzanck. If it’s Tzanck and if it’s...

    About the Lecture

    The lecture Herpes Simplex (HSV) by Carlo Raj, MD is from the course Infectious Skin Diseases.


    Included Quiz Questions

    1. HSV 1
    2. HSV 2
    3. HPV 11
    4. Varicella
    5. Measles
    1. Giant cells
    2. Clue cells
    3. Target cells
    4. Single nucleated cell
    5. Normal epithelial cells

    Author of lecture Herpes Simplex (HSV)

     Carlo Raj, MD

    Carlo Raj, MD


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