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Vol. 4, No. 3, 2012
Issue release date: September – December
Open Access Gateway
Case Rep Dermatol 2012;4:192–196
(DOI:10.1159/000342953)
Published: September 2012

Chronic Ulcerative Herpes Simplex Virus Infection of the Vulva

Griffith-Bauer K.a · O’Hearn M.b · Ehst B.D.a
Departments of aDermatology and bMedicine, Oregon Health & Science University, Portland, Oreg., USA

Abstract

Herpes simplex virus infections in HIV-infected individuals can be clinically unusual and difficult to treat due to underlying problems with cell-mediated immunity and the occurrence of antiviral resistance. Additionally, partial or incomplete restoration of immune function may result in chronic ulcerations that require rotational treatments. In this report, we describe the case of a 38-year-old HIV-positive woman who developed the ulcerative form of chronic herpes simplex infection despite highly active antiretroviral therapy and valacyclovir prophylaxis. Repeated intravenous courses of foscarnet and topical cidofovir finally controlled her erosions as her cell-mediated immunity was slowly restored. This case highlights the challenges that still exist in diagnosing and managing this rare presentation of herpes simplex virus

 goto top of outline Author Contacts

Dr Benjamin D. Ehst
Department of Dermatology
Oregon Health & Science University, Mail Code CH16D
3303 SW Bond Avenue, Portland, OR 97239 (USA)
E-Mail ehstb@ohsu.edu


 goto top of outline Article Information

Published online: September 12, 2012
Number of Print Pages : 5
Number of Figures : 3,


 goto top of outline Publication Details

Case Reports in Dermatology

Vol. 4, No. 3, Year 2012 (Cover Date: September - December)

Journal Editor: Jemec G.B.E. (Roskilde)
ISSN: 1662-6567 (Print), eISSN: 1662-6567 (Online)

For additional information: http://www.karger.com/CDE


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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