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Sex Transm Infect 77:75 doi:10.1136/sti.77.1.75

Labial adhesions following severe primary genital herpes

Sex Transm Inf 2001;77:75–80

  1. E Herieka1,
  2. J Dhar2
  1. 1Department of Genitourinary Medicine, Leicester Royal Infirmary
  2. 2Department of Genitourinary Medicine, Derbyshire Royal Infirmary
  1. E Herieka, Department of GUM Leicester Royal Infirmary, Leicester LE1 5WW, UK
  • Accepted 14 November 2000

Editor,—Labial adhesions following genital herpes infection have been described previously.14 To prevent their development various suggestions such as the use of early aciclovir,1 paraffin gauze,2 and saline bathing3 have been put forward. We believe nursing care is a significant factor in the prevention of this complication. Here we report two cases of severe genital herpes presenting at different sites, almost at the same time, both necessitating admission and developing labial adhesions.

CASE 1

A 25 year old woman was admitted to the medical ward with severe vulval ulceration, generalised skin rash, and difficulty in micturation of 4 days' duration. Clinical examination revealed target lesions, swollen labia, bilaterally enlarged tender inguinal lymphadenopathy with extensive vulval ulcerations. A clinical diagnosis of erythema multiforme secondary …