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Cold sore

Also known as Cold Sores, Fever Blister, Fever Sore, Lip Herpes, and Herpes Labialis

Herpes labialis, or orolabial herpes,:368 is an infection of the lip by herpes simplex virus (HSV-1). An outbreak typically causes small blisters or sores on or around the mouth commonly known as cold sores or fever blisters. The sores typically heal within 2–3 weeks, but the herpes virus remains dormant in the facial nerves, following orofacial infection, periodically reactivating (in symptomatic people) to create sores in the same area of the mouth or face at the site of the original infection.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with cold sore, 50% report having skin rash, 38% report having lip sore, and 35% report having mouth ulcer. The symptoms that are highly suggestive of cold sore are lip sore, mouth ulcer, and lip swelling, although you may still have cold sore without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with cold sore often receive complete physical skin exam performed (ml), pelvis exam, examination of breast, chlamydia test, microscopic examination (bacterial smear; culture; toxicology), pap smear, rectal examination and depression screen .

Common Medications

The most commonly prescribed drugs for patients with cold sore include acyclovir, valacyclovir (valtrex), famciclovir, penciclovir topical, betamethasone-clotrimazole topical, emtricitabine-tenofovir, docosanol topical, efavirenz/emtricitabine/tenofovir, kaletra, efavirenz, tenofovir, zolmitriptan (zomig) and imiquimod topical .

Who is at risk?

Groups of people at highest risk for cold sore include age 15-29 years.

Age

< 1 years
0.6x
1-4 years
0.9x
5-14 years
0.8x
15-29 years
1.8x
30-44 years
1.4x
45-59 years
0.7x
60-74 years
0.6x
75+ years
0.3x

Sex

Male
0.7x
Female
1.2x

Race/Ethnicity

Black
1.1x
Hispanic
1.0x
White
0.9x
Other
1.2x
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