There is no "typical presentation" of herpes. Some people after exposure will develop outbreaks or recurrences with a vesicular, painful rash. Others never see lesions or rashes. Even others - fall somewhere in between with localized pain coming first, followed by a rash. According to a recent study, some people with genital herpes may find that they have serious neuropathic pain (pain that follows nerve pathways) even if a rash or lesions never appear .
This study looked at 17 patients who complained of generalized chronic pain and had no signs of lesions. The majority of these patients were known to have herpes simplex virus. The researchers came to the conclusion that when some people get infected with the herpes virus, it may actually alter the pain processing mechanism in the central nervous system. Once these patients in the study were given anti-herpetic medication (like Acyclovir), the pain lessened considerably. So ...
There has been a lot of herpes talk in the media lately (and by “media” I mean gossip blogs and trashy online magazines) due to the recent allegations that R&B singer Chris Brown beat up his former girlfriend, pop singer Rihanna. The incident reportedly took place after a pre-Grammy party, and while people speculate on what sparked the fight, many believe it was over herpes. Rumors are flying that Rihanna not only gave genital herpes to Chris Brown, but that she got it from hip-hop mogul Jay-Z. Why is this important? It’s not. At least not unless you’re one of those involved. But the comments I’ve heard from people regarding this controversy tells me there’s still a lot of misunderstanding about herpes out there in the general population.
No one knows for sure what caused the fight between the two celebrities. My guess is that it had more to do with jealousy than an STD. I would imagine th...
To provide some clarification, since so many of you write to me asking about herpes testing , here's a run down of the current available tests. They each have limitations, though I indicate which are the most specific. A doctor will quite often take your history/examine you and then "marry the history/exam findings to the test results" which can mean that even in the face of a negative test result, your medical history and examination might indicate presence of herpes. It's important to realize that false-positives can also occur during testing.
1- Clinical examination - since HSV can present without lesions or the lesions can be confused with other diseases, just diagnosis by examination is not a perfect option.
2- Viral culture requires that lesions be present so the fluid can be taken from the sores and tested. It can be wrong 50% of the time but it is still a viable test because it can differentiate between HSV1 and HSV2.
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