What are the signs and symptoms of herpes simplex virus (HSV) infection in HIV infection?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
  • Print
Answer

Answer

Clinical features of HSV infection that distinguish it from VZV infection include the following:

  • Incomplete dermatomal distribution

  • Less pain

  • Larger dendrites with central ulceration and terminal bulbs

  • Rare skin scarring

  • Rare postherpetic neuralgia

  • Patchy, with no sectoral iris atrophy

  • Rare bilateral involvement

  • Frequent recurrent lytic epithelial keratitis

  • Sectoral or diffuse corneal hypoesthesia depending on the number of recurrences

Other conditions that may produce dendritic epithelial lesions include VZV, healing epithelial defects, and soft contact lens wear.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!