Your doctor will ask about your symptoms and your medical history, including any history of multiple sclerosis, a condition that may cause similar or even identical symptoms. Acyclovir-resistant HSV strains have been isolated from immunocompetent and, more commonly, immunocompromised patients. In those whose treatment began at or before the macule stage, rates were marginally higher at Some people have few or no further herpes outbreaks while others have regular recurrences. Trigeminal neuralgia, also known as tic douloureux, is a painful disorder of a nerve in the face called the trigeminal nerve or fifth cranial nerve.
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A burning sensation is often present just before the skin lesions develop. Contact with the clinic by telephone or visit was required as soon as possible after treatment was started to provide the investigator with details of the recurrence and treatment initiation. Over time, the outbreaks tend to become less frequent and milder. The optimum duration of therapy for facial herpes has not been prospectively defined and may differ from that for genital herpes. One or more painful, fluid-filled blisters may appear.