Short counmctions
Genital herpes is a highly contagious sexually transmitted disease caused by either herpes simplex virus (HSV) type 1 or 2. . genital area common infections by HSV type 2
Clincal picture
infection is characterized by a prodrome of malaise, chills, fever, and enlargement of inguinal lymph nodes.
The lesions can occur on any part of the vulva, perineum, or anus. Burning and itching and skinn eruption. they appear as one vesicles. Which rapidly break as ulcer painful 1–2 mm in size. Irregular border pale yellow center The vesicles may coalesce to form large ulcers with irregular borders and pale yellow centre. Dysuria is often present either due to periure- thral lesions or herpetic urethritis/cystitis. The lesions reach their maximum size in 7–10 days, thereafter a crust form with gradual resolution. Complete healing is within 14–21 day. Further tbreaks can occur but are almost alwasless severe and shorter than the first episode. Although the infection can stay in the body indefinitely, the number ooutbreaks tends to decrease over a period of years. In 70–90% women with vulvar herpes infection with HSV1 or 2 there is concomitant herpetic infec-tion of the cervix. This virus causes characteristic lesions on the cervix. The infection can be asympto- matic or can causulceration, which may be painful or give vaginal discharge. Biopsy is rarel warranted given the history and clinical findings. The infection is self-limiting, but its resolution can be hastened with antiviral therapy such as aciclovir, especially if given within first 2–3 days of infection. This is for use on
external genitalia only. Flexible endoscopy with narrow band image Red image shows vaginal discharge Herpetic vescile  irregularPainfularound external os Small yellowish in colourUlcer Multiple ulcer Size difference in size mm dge irregular Floor yellowish

Fig 8.7 Herpetic lesions seen on the cervix in the vesicular Multiple herpetic vesicle implex8