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Urticaria is a common skin condition but the symptoms and signs can be extremely distressing. The condition is often idiopathic.1 The management of urticaria can be frustrating even when triggers are identified.2 We describe a case of recurrent urticaria associated with genital herpes attacks and a successful use of suppressive therapy with valaciclovir.
A 35 year old white woman presented in March 2000 to a genitourinary medicine (GUM) clinic with 5 year history of recurrent lesions typical of genital herpes simplex virus (HSV) infection occurring almost every month. She had also been developing physical urticaria manifesting as itchy …
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