Chapter 6: Infections and Infestations

Viral Infections: Human Herpes Virus (HHV)

Herpes viruses are double-stranded DNA viruses that replicate in the cell nucleus. They often have the ability to cause latent infections which can appear at a later point in the patient’s life. The majority of patients with latent infections are asymptomatic. The important herpes viruses include HSV 1 and HSV 2, HHV 6 and 7, Varicella-Zoster virus, Cytomegalovirus, and Epstein Barr virus.

HHV Other Name Clinical Significance
1 Herpes Simplex Virus 1 Orolabial/gential herpes, herpetic whitlow, etc.
2 Herpes Simplex Virus 2 Orolabial/gential herpes, herpetic whitlow, etc.
3 Herpes Simplex Virus 3 Varicella (chickenpox), zoster (shingles)
4 Herpes Simplex Virus 4 Mononucleosis, EBV-associated leukemia/lymphoma, Gianotti-Crosti, oral hairy leukoplakia, etc.
5 Herpes Simplex Virus 5 Retinitis, mononucleosis-like infectious syndrome
6 Herpes Simplex Virus 6 Roseola infantum, pityriasis rosea, drug reaction with eosinophilia and systemic symptoms (DRESS)
7 Roseolovirus Pityriasis rosea, roseola infantum, drug reaction with eosinophilia and systemic symptoms (DRESS)
8 Kaposi Sarcoma-associated HHV Kaposi Sarcoma

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Pediatric Dermatology Copyright © 2023 by Dr. Wingfield E. Rehmus, MD, MPH; Dr. Jamie Phillips; Dr. Lisa Flegel; Dr. Saud Alobaida; and Hannah Podoaba is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, except where otherwise noted.

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