How is AIDS combined with genital herpes diagnosed and treated?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 07, 2024
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The treatment of AIDS combined with genital herpes requires the management under experienced infectious disease specialists and dermatologists. For AIDS, systematic and standardized antiretroviral therapy is necessary, involving a combination of three or more potent antiretroviral drugs. For genital herpes, antiviral drugs can be selected when necessary, and treatment should be tailored according to the actual situation. Through active management, most conditions can be well controlled.

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Written by Du Kun
Dermatology
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What are the symptoms of genital herpes?

Genital herpes is a sexually transmitted disease caused by herpes simplex virus infection, mainly by type 2 genital herpes virus. It commonly occurs in the genital area or the perineum. The skin lesions primarily appear as initial red papules, which rapidly develop into isolated or clustered vesicles, accompanied by secondary infections that can lead to pustules, erosions, crusts, and even ulcers. Clinically, the symptoms include varying degrees of itchiness or burning sensation. A minority of individuals may also experience swelling and tenderness of local lymph nodes, along with low fever, headache, or general symptoms.

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Written by Luo Hong
Dermatology Department
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How is genital herpes tested?

Herpes viruses are generally divided into two types, type 1 and type 2 genital herpes, mainly caused by type 2 herpes virus. The best approach for type 2 herpes virus is to use blister fluid for PCR testing of DNA. If testing is not possible, you can also consider blood tests for herpes virus antibodies. If the IGM for type 2 herpes virus is positive, then consider it a current symptomatic infection. If the IGM is negative, but HCG is positive, then consider this herpes as a past infection.

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Written by Xie Ming Feng
Dermatology
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Genital herpes appears in what location?

Genital herpes is a chronic, recurrent, and difficult-to-cure sexually transmitted disease caused by the infection of the urinary and genital skin and mucosa with herpes simplex virus. It primarily affects the genitals and perineal area. In males, it commonly occurs on the foreskin, glans penis, and coronal sulcus. In females, it is often seen on the labia majora, labia minora, vaginal opening, and cervical opening. Less commonly, it can also affect areas around the anus, buttocks, and groin.

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Written by Xie Ming Feng
Dermatology
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How long is the incubation period for genital herpes?

The incubation period of genital herpes generally ranges from 2 to 14 days, with an average of 3 to 5 days, meaning that patients might not exhibit any symptoms during the incubation period. After this period, erythema can appear around the external genitalia, followed by the development of papules, vesicles, erosions, ulcers, and crusts, which may be accompanied by pain, burning sensations, and itching. The local lymph nodes may swell, and some patients may experience headaches, fever, and fatigue as systemic symptoms.

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Written by Xie Ming Feng
Dermatology
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How long will it take for genital herpes to heal after taking medication?

Genital herpes is categorized into primary genital herpes and recurrent genital herpes. Primary genital herpes refers to the first infection of the herpes simplex virus, with a treatment duration generally ranging from two to three weeks, after which symptoms disappear. Recurrent genital herpes refers to the recurrence of the condition after the primary infection lesions have subsided. Treatment typically leads to the disappearance of symptoms within seven to ten days. However, it should be emphasized that genital herpes cannot be completely cured, hence it is recurrent.