COLD SORES

Types

• Herpes simplex oinis dominant within nerves migrates producing tingling, then a blistering rash. Recurrent in the same site. Complex triggers.
• Oral.
• Genital.

Danger signs

• Genital: in case there is coexisting other venereal illness.Contact GU Clinic.
• Herpes Zoster Shingles: especially if it affects the face.Contact GP.

Notes for children

• Under 12 years. Contact GP.

Notes for the elderly

• Not seen in this age group.

General advice

• Treat as early as possible in "tingling" phase - or as early as possible after blister formation.
• Avoid spreading

Therapy

• Acyclovir cream.
• Analgesia for symptomatic relief.
• Antiseptics for old lesions if superficial infection.

Dictionary

Herpes simplex: fever blister, cold sore.

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