HomeAnswersDermatologycross-contaminationCan I get herpes from the use of unsterilized instruments?

Can I get herpes from the use of unsterilized instruments?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 7, 2017
Reviewed AtJuly 13, 2023

Patient's Query

Hello doctor,

I required deep cleaning of my teeth. So I came to my hometown and started seeing my family dentist, to whom my entire family has been going for a couple of years. One week ago, I started the treatment, which was deep cleaning on one side of the teeth. I always dreaded cross-contamination, and I explained this to my doctor, who showed me their autoclaving procedure and also, the instruments used by him were removed from a sealed pouch by him in front of me, and so were the gloves, and I was happy about the safety protocol. Yesterday, I went for my second sitting, and during the part where the anesthesia was given to my gums, the instruments used were, as usual, removed from a sealed pouch by him, but for the actual cleaning part, which was done in an adjacent clinic, the nurse who helped him gave the dental motor probe and the tweezer in an open tray. I immediately asked both the nurse and the doctor about this, and both assured and swore that those instruments were the ones that were removed from the sealed pouch and the nurse had brought it to this room with the help of a tissue paper, and I need not be scared about the cross-contamination as they do not ever use the instruments on others. He even took me to the autoclave room and showed me how the procedures are done, and explained to me how the attendees and nurses are instructed to adhere to the rules. Since I have a cross-contamination phobia, I cannot believe him though I want to. The time difference between the last patient and me was about 10 to 15 minutes. It was an air-conditioned room. I have no idea about the last patient's medical history. He was a middle-aged person, and laser treatment was done for him, but again I have no clue what treatment he had. I would like to know how long does the herpes virus survive. I am so scared that I just cannot sleep, breathe or do anything.

Please help me, as I am petrified.

Hello,

Welcome to icliniq.com.

The doctors do use adequate asepsis before any procedure. I am sure in your case, too, all strict precautions for sepsis would have been followed. Reusing the same instruments is unethical, and I do not think that it would be done in good clinics. Moreover, as most of your family members have been visiting the same doctor and have never complained, I believe there should be no issues. The herpes virus can survive up to two hours on instruments. However, this could happen only if the person before has had any active lesions of herpes.

Patient's Query

Thank you, doctor,

Some websites, especially the herpes website, they claim that since the virus is very fragile, it cannot survive more than 10 seconds. Also, since the last patient before me had a laser process, but I do not know for what reason, the dental mirror probe and tweezer all would have come in contact with the laser. My simple question is while the laser beam light was used in the area inside the mouth, will not the instruments that were used along with the procedure would come in contact with the laser beam? If so, there could be saliva and the wetness from the procedure that the laser should have dried them up. Because nowadays, dental clinics claim that laser light can kill virus lesions. Honestly, doctor, could you please tell me the risk factor I have in this case? I assure you I will not panic, but I need to know the truth. I am saying this because many doctors claim that using a laser reduces the chance of post-operative surgery. If that is the case, then the instruments that were used in the process should also have been exposed to a certain level of laser light though not fully destroying the virus or bacteria present on the instruments but still, to a certain level reducing them.

Hello,

Welcome back to icliniq.com.

It is tough to ascertain the risk if there is any such possibility. There are no data available to specify the percentage of risk in the case of herpes. This is because most of us would have had a subclinical infection early on in our life itself, and almost 85 % of the population would test positive for antibodies. There cannot be any definitive way to quantify the risk; however, I would believe that no doctor would use already used equipment without sterilization atleast in good clinics. Hence you need to have faith and keep moving on rather than upsetting yourself.

Patient's Query

Thank you doctor,

Because of this fear, last year I did check myself for antibodies. All the tests were negative. Believe me, from that moment, I have never ever kissed anyone even if it was a child or drank from anyone's bottle, used a spoon, used plate or had any juice from hotel tumblers nor had food from hotel spoons. I rather wash my hands and use my hands to eat when I am in a hotel. Today when I was checking my lower lips, I saw this red spot on the left side of my lower lip area. It was in this area that they did the deep cleaning but I should tell you that even before using the instruments when the doctor pulled my lower lips for placing the injection and numbing solution, it felt burning like you feel when someone pull and tweeze your lips. Then no pain or anything. Even today, no burning sensation but I feel a slight pain if I press my lips in that area. Even the lip balm I use is exclusive to me and I wash my hands two times before touching my lip balm every time. I have attached photographs for your reference.

Could you please help me?

Hello,

Welcome back to icliniq.com.

The clinical images that you have attached (attachment removed to protect patient identity) are not in favor of herpes. It just looks a little bit of erythema and I cannot make out any blisters. The incubation period of herpes is usually two to five days. So, in case it was the viral infection it would have developed vesicles by now. Moreover, as your test result is negative, it absolutely rules out the chance of an infection.

Patient's Query

Thank you doctor,

So, you say that if yesterday the instruments used on me would have been used once then the incubation period for that would be two to five days and since it is only 24 hours it cannot be that? Also since my previous test results were negative, it cannot be herpes at all right? So what can I apply for that? I have hydrocortisone acetate cream with me. Can I apply that? Is it safe? I have the cream with me always since I have cheilitis problem and sometimes the doctors in this forum and the doctor that I see recommend me to use it. I have attached photos which I took just now. The time between the earlier photos and the ones that I have taken now is five hours.

Hello,

Welcome back to icliniq.com.

Yes, it looks mostly like a bit of early cheilitis.

I suggest you use a little of Petrolatum or Vaseline (Glycerin, Stearic Acid, Isopropyl Palmitate, Glycol Stearate, Peg-100 Stearate, etc.) and Hydrocortisone cream for five days only at night.

Patient's Query

Thank you doctor,

Can you please explain to me more in detail about this incubation period you were talking about? You said in the earlier answers that the incubation period is two to five days and if it was that infection then the vesicles must have formed by now? Can you please explain me? I do not want to confuse myself with the possibility of explanation with this.

Hello,

Welcome back to icliniq.com.

I meant that once there has been a suspected exposure, the disease manifests itself within two to five days.

In case of already infected people, the reactivation occurs much quicker due to the stress of any procedure.

In your case, as your procedure had started a week back and had a repeat session yesterday, there should have been manifestations of blisters by today, which is not the case.

Moreover, your test results are also negative.

There is nothing to confuse, you can stay assured that you have not acquired any herpes as of now.

Patient's Query

Thank you doctor,

Last week the instruments used were all sealed and removed in front of me whereas only on the second sitting during the injection part, the instruments were sealed and during the cleaning part, the instruments were in open. Thus, I suspect that they would have used instruments given to the last patient. So now what to do you think of this scenario? Also when you say incubation period of two to five days, How are the days calculated?

Hello,

Welcome back to icliniq.com.

You could then wait until this weekend and see if you have developed any lesions. There is no available test to confirm if you are infected at this point in time.

Moreover, the stress of being infected could itself lead to reactivation of subclinical herpes infection.

So it would get really tough to say what led to the disease, the instruments or your mental stress?

And there is no way to prove that the instruments were not sterilized as it is very unlikely to happen so.

Patient's Query

Thank you doctor,

I request you to please answer my questions in detail.

1) I have another session of dental cleaning (deep cleaning) of the upper set of teeth tomorrow. If I postpone it to another week and until that time no symptoms appear then can I be sure that I have not got exposed to the virus?

2) Apart from the IgG tests which can be taken four to six weeks after the possible exposure, can you please give me some knowledge on IgM. In many forums, they say that you can take those tests after a few days. Is it true?

3) If the person did not have an active flare then how long will the virus stay on dental equipment?

4) In some websites, they have mentioned that the virus is very fragile so it will not stay more than 10 seconds outside the body unless it is damp. So, my question is how long does the saliva take to dry?

Hello,

Welcome back to icliniq.com.

Yes, if you do not develop any symptoms in the next five days then you can assume you have not been infected.

The IgM levels are more helpful in detecting acute or active infections and are the investigations of choice. IgG only suggest past immunity.

If the previous patient did not have any active flare, it is unlikely he would be shedding any herpes virus. He would not be a source of infection at all.

The saliva would dry up within minutes and the virus usually cannot survive for long on fomites.

Patient's Query

Thank you doctor,

If four days ago was the day of exposure then tomorrow is the fifth day of exposure. Am I right? So even if I did not have any infection can I still get an IgM test done to rule out my fear. If so, how many days later I can take the test? You said saliva will dry in minutes. It was around 20 minutes after the last patient that my appointment started. So, would the will the saliva dried out that soon. if saliva us dried out then no need for fear right? and when you meant fomites did you mean the dental instruments?

Hello,

Welcome back to icliniq.com.

Yes, five days is the usual upper limit for herpes infection.

The IgM levels would be positive by one week after a suspected infection. So if you are worried, you could still go for it.

It is highly unlikely that herpes would get transmitted by sharing things especially when the person does not have any active infection at all.

There are no documented studies either to suggest that the virus can survive outside the human body.

There is no way to prove that instruments could lead to a transmission of herpes too.

Regards.

Patient's Query

Hello doctor,

Today there seems to be a rash on the upper lip. At times it looks like just one side, and sometimes it looks like the star's completely in the middle. I do have lots of Forster-Fusch's spots in that place. My doctor told me this when I went to see him. It is weird, and sometimes it pulses up like pimples. Sometimes it is itchy. I feel like wiping it off. I have attached pictures for your reference.

Please help.

Hi,

Welcome back to icliniq.com.

It looks like cheilitis, most probably due to the weather (attachment removed to protect the patient's identity). There is nothing to worry about regarding chapped lips; it is common in winter. There is no evidence of herpes at present. So, I suggest you to use chapped stick three times daily.

I hope this was helpful.

Patient's Query

Hello doctor,

I have attached a few pictures of my lips which I took one hour ago. I felt my lips very dry at the corners so I applied lip balm (I have been using it over a year now). Half an hour before I had my meals and after that my lips appear red, I do not know why. I am so scared.

1) The first picture are those taken just before meals.

2) The second and the later pictures are the ones taken after eating. I had curd rice and dosa nothing new to my diet. Then why this problem occurs?

3) In some photos the the camera flash makes the lips look much red.

4) Can I apply Hydrocortisone cream. I am scared.

Please help me.

Hi,

Welcome back to icliniq.com.

I have not received any pictures.

There is nothing to be scared about. The cheilitis increases with exposure to wetness. So do not repeatedly lick your lips. So I suggest you to apply moisturizer, and also, you can try using Hydrocortisone (topical steroid) cream, apply at night for three days.

Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this was helpful.

Patient's Query

Hi doctor,

Thank you for your reply.

I am attaching photos right now. Please check them and give your opinion. The right side of the vermillion border feels like a tape is stuck to it, which is in the last picture I have attached. Why is it like that?

Please give your opinion.

Hi,

Welcome back to icliniq.com.

The lips appear chapped, more than in previous images (attachment removed to protect the patient's identity). The erythema is quite prominent in a few pictures. The upper lip, as per the picture, has scattered lesions in contrast to the lower lip, where it is continuous.

Although there are no features of herpes as of now, you can wait and watch if blisters appear on the lips in the next few days. I suggest you to use Hydrocortisone cream at night as it would help to decrease the redness. Also, kindly note the more you are stressed, the higher the chance of herpes.

Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this was helpful.

Take care.

Patient's Query

Hi doctor,

Thank you for your reply.

There have always been a lot of Fordyce spots on my upper lip. Also, I have attached some pictures where the redness has reduced by itself, but there is mild itching on the right upper lip in the middle part. Do you suspect anything else? Should I start taking any precautionary tablets?

Please answer.

Hi,

Welcome back to icliniq.com.

There are no features of herpes. So let us wait. For the time being, continue using moisturizer.

Thanks and regards.

Patient's Query

Hello doctor,

Thank you for your reply.

I have attached a few pictures of the lips throughout the day. The reason is, it looks different in the morning, afternoon, and evening. And at night, immediately after eating food, it appears different. Why is it so? Also, can I still continue Hydrocortisone cream, if I apply the cream at night and wash it off morning the skin appears red. Is it normal?

1) I have attached photos as per the order since morning, so the last photos are the ones that are taken immediately after eating food.

2) For how many days should I keep watching out and worrying about this?

Please give your suggestions.

Hi,

Welcome back to icliniq.com.

The lips look much better than what it was before. Also, they look normal. The incubation period for herpes is two to seven days after suspected exposure.

But as you wanted to observe for up to two weeks for your satisfaction, we are continuing to monitor. You can stop using the Hydrocortisone cream and use the moisturizer for now.

Thanks and regards.

Patient's Query

Hello doctor,

Thank you for your reply.

For the last couple of days, the tissue which connects the lower lip and lower gums have been hurting in the lower lip frenulum. I feel I have stretched it too much. I have taken pictures of it in the morning. Can you please tell me what it is? And what needs to be done to cure it? I am scared. The lower part of the teeth was deep cleaned ten days ago, and the dentist says it is normal to have pain. But the pain disappeared for some time, but now it is back. I do not know whether I am overthinking.

Could you please tell me what to do?

Hi,

Welcome back to icliniq.com.

There appears to be mild erythema in your frenulum. Probably you have been meddling a lot with it. However, do not think there is anything bothersome with it.

You must give up your fear of herpes now, as it is well beyond it.

I hope this has helped.

Patient's Query

Hello doctor,

Thank you for your reply.

The pain in the lower part of my gums is not going away, I visited a couple of dentists and everyone said it is nothing serious. Even the dentist whom I visited for deep cleaning said it occurred because I stretched it too much. But I do not remember pulling my lower lips for a long time except when the cleaning was done and injections were put on for numbing the gums which happened almost two weeks ago. Will it still have some influence? The pain is severe, sometimes I feel like something is poking my lip, and sometimes there is no pain at all. As always it is bothering me. It has been like this for the past three days.

Could you please tell me what can be done?

Hi,

Welcome back to icliniq.com.

From a clinical point of view, your lips, and gums, including the frenulum, look normal, and I personally cannot make out anything abnormal in the pictures.

Kindly divert yourself and clear your mind. Engage yourself in performing physical activities like yoga or exercise. It would help you feel better.

Take care.

Thanks and regards.

Patient's Query

Hello doctor,

Thank you for your reply.

A week ago, I used Hydrocortisone cream brought from a medical shop. I have used it a couple of times, even more than that. Only now did I know that package was tampered with (the opening end was cut, so the cream was coming from both ends of the tube). If it was used by someone and returned, then I used it, is there any chance for any virus or bacteria to thrive in it, especially herpes?

Kindly share your opinion.

Hi,

Welcome back to icliniq.com.

No, any bacteria or virus would not transmit this way. I understand your anxiety and will try my best to help you get over this. The tube could have very well been tampered with by the patient's own usage at times, too, so we cannot rule it out. There is nothing to panic though. You are totally alright.

I hope this helps.

Take care.

Patient's Query

Hello doctor,

Thank you for your reply.

This evening I felt as though the sides of my left tongue were hurting as though I bit it, but I do not remember biting it nor did I eat anything spicy. But I do have a mild stomach ulcer. I noticed small red dots when I took photos of the left side. I am so scared, doctor; what are those? I am stressed a lot.

Please help.

Hi,

Welcome back to icliniq.com.

The red spots you mentioned are the normal papillae over the tongue. I cannot appreciate any disease in the pictures you shared. Your oral cavity appears normal and is free of disease.

There is no need to panic.

I hope this helps.

Patient's Query

Hello doctor,

Thank you for your reply.

My lips were very dry and flaky today, especially around the corners, so I applied lip balm. On the left side of the lower lip, there is a sore. It appears as if the skin is peeled. I am not sure. Can I continue with Hydrocortisone? Is it safe? Also, please tell me if there is any difference between the left and the right side of the lower lip. Also, today will be the 17th day after my deep cleaning right?

Please reply.

Hi,

Welcome back to icliniq.com.

It appears more like chapped lips due to the cold season. Hydrocortisone cream will not work for this, and you can stop using it. Instead, a good lip balm would help better.

They are not herpes.

I hope this helps.

Take care.

Patient's Query

Hello doctor,

Thank you for your reply.

There are a few queries that I need to ask you,

1) The right side corner of the lips is very dry and flaky (I have attached the pictures).

2) On the right side vermillion border, there seems to be a white pimple, but when I look closer, it is a flat white spot. But in the photos, it appears like a white pimple (it is making me anxious).

3) Can you please take a look and tell me if there is any swelling, or can you notice a difference between the left and right side of my lower lip? Can I use the Hydrocortisone cream on the lips border, as I do not have any other medicated cream?

4) Also, the incubation date day when I did the deep cleaning was day one of the suspected exposure, right?

I am stressed.

Please help me.

Hi,

Welcome back to icliniq.com.

Your lips appear normal (attachment removed to protect the patient's identity). There is no problem at all. Hydrocortisone is a steroid cream, and you should not be using it when you do not have an indication. It will harm your lips if you use it inadvertently.

Yes, the day you underwent scaling will be day one.

I hope this was helpful.

Patient's Query

Hello doctor,

Thank you for your reply.

On the left side of the tongue, there is a small pimple-like lesion and it hurts. At first, I thought it was a tongue bite but it is not. Also, I have been taking Riboflavin two times a day for the past three days. Why does the lesion not subside? I am so scared.

Please help me.

Hi,

Welcome back to icliniq.com.

I have gone through your pictures. The lateral aspect of the tongue indeed looks a little red, although nothing alarming. It could be a small aphthous ulcer developing due to your persistent increased stress levels. Riboflavin (nutritional supplement) would help for normal mucosa regeneration and prevent any glossitis.

You need to calm down and keep yourself stress-free.

Take care.

Patient's Query

Hello doctor,

Thank you for your reply.

I have attached a few pictures of my left side lower lip. I had applied the lip balm excessively and went out, and when I returned, I wiped it off with cotton bud, and the entire lower lip was red, specifically near the vermillion border. It seems like a cut, but there is no cut. Also, I started applying Hexigel to the tongue and started taking Becosules tablets. I have attached the photos of the same. These things make me more stressed.

Can you tell me what it is?

Hi,

Welcome back to icliniq.com.

It appears that you have peeled out the skin of your lower lip. Lips are sensitive structures and should be dealt with carefully. Do not rub them harshly, do not repeatedly lick them, do not bite them, and do not peel the skin. The lesion on the tongue is better than how it was before.

It is unlikely that you have acquired herpes as it is beyond the incubation period. However, your persistent stress could have resulted in a herpes infection. You can now stop observing your lips and get along with things.

I hope this has helped you.

Patient's Query

Hello doctor,

Thank you for your reply.

Last night I applied Hydrocortisone cream, but today I feel that my lower lip is swollen. Also, please tell me whether you see any swelling or difference between either side of the lower lips. The right side, lower vermillion border, and corners of the lip are burning; I do not know why. But I am still scared and stressed.

Please help.

Hi,

Welcome back to icliniq.com.

Yes, there appears to be mild swelling in the lower lip, which is a nice observation. However, that could probably be due to the underlying inflammation. I understand the psychological impact that herpes has on patients. It is normal for you to get anxious with such doubts. However, the good thing is that you are beyond the incubation period for herpes, and it is unlikely that you would develop it anymore further. You must start looking beyond it and diverting your mind from such thoughts. The present condition would resolve. So I suggest you to apply moisturizer for five days, and you need to be patient with it. Do not repeatedly keep pricking your lips.

I hope this has helped.

Patient's Query

Hello doctor,

Thank you for your suggestions.

I have attached a few more picturess that I took recently. Can you tell me if there is any swelling, as I cannot see the swelling? Also, I noticed a red lesion in the middle of the lower lip. If I take a look at it closely, it looks like peeled skin, but I am not sure. Also, since I applied Hydrocortisone cream last night, does my lower lip appear red? What should I do? And for what conditions can I apply Hydrocortisone cream? Also, I do not have a moisturizer, so I used a lip balm. Can I still continue using them?

Please give your opinion.

Hi,

Welcome back to icliniq.com.

It looks better, but it would take at least a couple of days to settle down (attachment removed to protect the patient's identity). We need to be patient in the meanwhile and let it heal on its own. The redness looks like you accidentally peeled the skin, and it will take at least three to five days to re-epithelialize. Hydrocortisone is a mild steroid and is not advisable to use without a prescription. You can avoid it and continue using the lip balm three to four times daily.

Patient's Query

Hello doctor,

Thank you for your reply.

You suggested applying the lip balm but after applying the lip balm my lips appear dark red. Can I apply the Hydrocortisone cream for the whole night?

Please answer.

Hi,

Welcome back to icliniq.com.

Hydrocortisone will be indicated if the lips are oozing and crusting. The application of moisturizers will make the lips appear glistened. Hence the increase in the redness.

I hope this was helpful.

Patient's Query

Hello doctor,

Thank you for your reply.

I have attached a few pictures that I have taken right now. There seems to be a dry patch on the left-side corner vermillion border. If I look closely, it looks like small pimples, but if I stretch the skin, it is not there. What is that? Also, sometimes the vermillion border becomes red. Why is that so? Also, can you still see the swelling?

Please give your suggestions.

Hi,

Welcome back to icliniq.com.

Your lips appear normal, and the swelling and redness appear to have subsided (attachment removed to protect the patient's identity). The lesion you describe could probably be Fordyce spots, an enlarged oil gland. You are unlikely to develop herpes any time in the future.

I hope this helps.

Patient's Query

Hello doctor,

On the right side vermillion border, there is a small pimple (more of a red line on the right side) could you please take a look at it and tell me what should I do? Can I apply Hydrocortisone cream for that? Also, sometimes I see it on the left side vermillion border and sometimes on the right side. Why is it like this? As of now, I have applied lip balm.

Please help.

Hi,

Welcome back to icliniq.com.

Skin is a dynamic structure; hence, there would be day-to-day variation. It would look like a problem only when we repeatedly keep observing it keenly with a doubtful mind. I suggest you to apply lip balm. And, Hydrocortisone is not indicated.

There is no evidence of herpes.

Take care.

Patient's Query

Hello doctor,

Thank you for your reply.

Yes, I understand, and I sometimes see, but the lower vermillion border has been troubling for the past couple of days. It becomes red or looks like a fissure or rash I am not sure how to put it. Also, the right side upper lip vermillion border is hurting like a pimple or acne is about to appear. What should I do about that? I have attached a picture.

I request you to provide me with some solution.

Hi,

Welcome back to icliniq.com.

However, you must find a way out of this and overcome your fear of herpes. It is unlikely that you would develop herpes any time sooner after your suspected exposure. We can treat you as long as there is a problem, but once there is none, then it gets tough. Since you complain of pain, I suggest you to apply T-bact (topical antibacterial) cream over the sore areas.

I hope this was helpful.

Patient's Query

Hello doctor,

Thank you for your reply.

But it is more than my imagination that the left side corner of the lower lip and its vermillion border is troubling me. It feels dry, like a tape stuck to it sometimes, also, sometimes there seems to be a small pimple, but while stretching it, it looks like a dry lip. It annoys me. As of now, since I do not have T-bact cream with me, I have applied Hydrocortisone cream on that area. I know you told me not to apply it, but I do not have any other medicated cream with me. I have attached the pictures. Please tell me for how many hours should I keep this Hydrocortisone cream on my lips.

Thank you.

Hi,

Welcome back to icliniq.com.

Kindly taper the Hydrocortisone cream to stop using it.

I hope this helps.

Patient's Query

Hello doctor,

Thank you for your reply.

Last weekend, I had given my blood samples for HSV 1 and 2, IgG and IgM testing with the Elisa method. I will be getting the reports tomorrow. But I have a few queries,

1) On the internet, they claim that the virus would have got in and created antibodies. But there will not be any symptoms. Is it even possible?

2) Some people say that the symptoms might be mild, and the doctors cannot identify them sometimes.

3) Also, one of my relatives happened to hug and kiss me on my cheeks and on my lips, but I think her hands just brushed through my lips. Now I am so scared of the results.

Please give your opinion.

Hi,

Welcome back to icliniq.com.

It is true that most of the infections are subclinical. They do not lead to clinical lesions and instead help in producing immunity. However, active infection is suggested by a positive IgM, where treatment is mandatory.

So, kissing on lips or direct contact with infected lesions could lead to spreading.

I hope this helps.

Patient's Query

Hello doctor,

Thank you for your reply.

I just received the reports. The tests were conducted using the CLIA method, which is an accurate method. I have attached the reports. Please take a look. Also, I have attached some pictures of my lower lips. There is an extra red line on the right side lower vermillion border and at the corner. What is that? Also, please let me know if you could see any abnormalities in my lower lip.

Please help.

Hi,

Welcome back to icliniq.com.

There are no reports attached to this message. Also, the picture attached is too flashy (attachment removed to protect the patient's identity). However, I cannot make out any herpes lesions in the picture. And it looks normal.

I hop this was helpful.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rakesh Kumar Bahunuthula
Dr. Rakesh Kumar Bahunuthula

Dermatology

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