RT Book, Section A1 Hardin, J. Matthew A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181043873 T1 Nongenital Herpes Simplex Infections T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181043873 RD 2024/04/23 AB Primary or recurrent HSV infection presents as grouped vesicles on an erythematous base. Recurrent HSV is typically less severe than the primary infection. A prodrome is frequently noted with fever, malaise, anorexia, and regional lymphadenopathy. The vesicles progress to pustules and crusted erosions. They heal over 2 to 3 weeks. Mucocutaneous involvement of the mouth and lips are the most common sites. Herpetic whitlow is a painful HSV infection of a distal finger seen primarily in children and adolescents. Herpes gladiatorum spreads via direct skin-to-skin contact in sports such as rugby and wrestling.