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Recurrent Genital Herpes Simplex Infection: A Trivial Disorder

Recurrent Genital Herpes Simplex Infection: A Trivial Disorder Abstract Genital herpes simplex virus (HSV) infection can be viewed, in the main, as a trivial disorder causing patients minor physical discomfort and some alteration in the pattern of their normal sexual activity. Notwithstanding the fact that genital HSV may have oncogenic properties and may be life-threatening to a fetus at term or to the immune suppressed, the simple clinical fact remains that the disease is a benign, self-limiting infection for most healthy individuals. This, of course, is not how most patients actually view the affliction. Recurrent infection with genital HSV presents, instead, a number of special psychosocial problems to patients and therapeutic dilemmas to physicians that defy conventional approaches appropriate to other sexually transmitted diseases. Included in a list of issues considered peculiar, if not unique, to recurrent genital HSV infection are the following: (1) the failure of most For editorial comment see p 467. conventional medical treatments to influence References 1. Reichman RC, Badger GL, Mertz GJ, et al: Treatment of recurrent genital herpes simplex with oral acyclovir . JAMA 1984;251:2103-2107.Crossref 2. Bierman SM: Management of patients with recurrent genital herpes simplex infection . Semin Dermatol 1984;3:106-112. 3. Nuss DD, Aeling JL: Herpes simplex treatment . Cutis 1977;20:237-241. 4. Kern A: Recurrent herpes simplex: A simple treatment . J Med Consult 1979;19:83. 5. Bierman SM: BCG immunoprophylaxis of recurrent herpes progenitalis . Arch Dermatol 1976;112:1410-1415.Crossref 6. Whelan EM, Stanko RT: Medically muddled media . JAMA 1983;250:2137.Crossref 7. American Social Health Association: HELP membership survey research project . Helper 1981;3:1-5. 8. Bierman SM: A possible psychoneuroimmunologic basis for recurrent genital herpes simplex infection . West J Med 1983;139:547-552. 9. Kathleen K. v Robert B., 150 Cal Rptr 3d 992 (Cal App 1984). 10. American Social Health Association: Herpes simplex disease: Also a legal issue . Helper 1983;5:1-6. 11. Corey L, Adams HG, Brown ZA, et al: Genital herpes simplex virus infection: Clinical manifestations, course and complications . Ann Intern Med 1983;98:958-972.Crossref 12. Corey L, Holmes KK: Genital herpes simplex infection: Current concepts in diagnosis, treatment and prevention . Ann Intern Med 1983;98:973-983.Crossref 13. Goldmeir D, Johnson A: Does psychiatric illness affect the recurrence rate of genital herpes? Br J Vener Dis 1982;58:40-43. 14. Benson H: Systemic hypertension and the relaxation response . N Engl J Med 1977;296:1152-1155.Crossref 15. Benson H: The Mind/Body Effect . New York, Simon & Schuster Inc, 1979. 16. Bierman SM: Safe therapy for herpes simplex . J Med Consult 1979;19:38. 17. Gordon JS: Holistic medicine: Advances and shortcomings . West J Med 1982;136:546-551. 18. Chang TW: Suppression of herpetic recurrences with chlorpromazine . N Engl J Med 1975;293:153-154. 19. Lieb J: Remission of herpes infection during therapy with lithium . N Engl J Med 1979;301:952. 20. Bierman SM: A retrospective study of 375 patients with genital herpes simplex seen between 1973 and 1980 . Cutis 1983;31:548-565. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Recurrent Genital Herpes Simplex Infection: A Trivial Disorder

Archives of Dermatology , Volume 121 (4) – Apr 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660040097019
Publisher site
See Article on Publisher Site

Abstract

Abstract Genital herpes simplex virus (HSV) infection can be viewed, in the main, as a trivial disorder causing patients minor physical discomfort and some alteration in the pattern of their normal sexual activity. Notwithstanding the fact that genital HSV may have oncogenic properties and may be life-threatening to a fetus at term or to the immune suppressed, the simple clinical fact remains that the disease is a benign, self-limiting infection for most healthy individuals. This, of course, is not how most patients actually view the affliction. Recurrent infection with genital HSV presents, instead, a number of special psychosocial problems to patients and therapeutic dilemmas to physicians that defy conventional approaches appropriate to other sexually transmitted diseases. Included in a list of issues considered peculiar, if not unique, to recurrent genital HSV infection are the following: (1) the failure of most For editorial comment see p 467. conventional medical treatments to influence References 1. Reichman RC, Badger GL, Mertz GJ, et al: Treatment of recurrent genital herpes simplex with oral acyclovir . JAMA 1984;251:2103-2107.Crossref 2. Bierman SM: Management of patients with recurrent genital herpes simplex infection . Semin Dermatol 1984;3:106-112. 3. Nuss DD, Aeling JL: Herpes simplex treatment . Cutis 1977;20:237-241. 4. Kern A: Recurrent herpes simplex: A simple treatment . J Med Consult 1979;19:83. 5. Bierman SM: BCG immunoprophylaxis of recurrent herpes progenitalis . Arch Dermatol 1976;112:1410-1415.Crossref 6. Whelan EM, Stanko RT: Medically muddled media . JAMA 1983;250:2137.Crossref 7. American Social Health Association: HELP membership survey research project . Helper 1981;3:1-5. 8. Bierman SM: A possible psychoneuroimmunologic basis for recurrent genital herpes simplex infection . West J Med 1983;139:547-552. 9. Kathleen K. v Robert B., 150 Cal Rptr 3d 992 (Cal App 1984). 10. American Social Health Association: Herpes simplex disease: Also a legal issue . Helper 1983;5:1-6. 11. Corey L, Adams HG, Brown ZA, et al: Genital herpes simplex virus infection: Clinical manifestations, course and complications . Ann Intern Med 1983;98:958-972.Crossref 12. Corey L, Holmes KK: Genital herpes simplex infection: Current concepts in diagnosis, treatment and prevention . Ann Intern Med 1983;98:973-983.Crossref 13. Goldmeir D, Johnson A: Does psychiatric illness affect the recurrence rate of genital herpes? Br J Vener Dis 1982;58:40-43. 14. Benson H: Systemic hypertension and the relaxation response . N Engl J Med 1977;296:1152-1155.Crossref 15. Benson H: The Mind/Body Effect . New York, Simon & Schuster Inc, 1979. 16. Bierman SM: Safe therapy for herpes simplex . J Med Consult 1979;19:38. 17. Gordon JS: Holistic medicine: Advances and shortcomings . West J Med 1982;136:546-551. 18. Chang TW: Suppression of herpetic recurrences with chlorpromazine . N Engl J Med 1975;293:153-154. 19. Lieb J: Remission of herpes infection during therapy with lithium . N Engl J Med 1979;301:952. 20. Bierman SM: A retrospective study of 375 patients with genital herpes simplex seen between 1973 and 1980 . Cutis 1983;31:548-565.

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1985

References