Derm Dx: Blisters, blotches and burning in a 42-year-old woman

A 42-year-old woman with herpes simplex virus (HSV) 1 presented with a five-year history of monthly recurring oozing plaques and blisters on her face, hands and forearms.The eruption was preceded by a burning sensation, and the lesions always appeared at the same locations. A similar eruption had occurred 12 years earlier but abated after a few years.

Examination revealed multiple ...