To prevent herpes labialis, attention must be paid to reducing risk factors.
Behavioral risk factors
- Emotional stress, psychological stress.
Disease-related risk factors.
Injuries, poisonings and other consequences of external causes (S00-T98).
- Injuries, unspecified
Other risk factors
- Perimenstrual and menstrual (before and during menstruation).
- Herpes solaris due to sun exposure
Groups of patients who should see the doctor in the event of an outbreak of herpes labialis:
- Newborns, infants and young children.
- Pregnant women and breastfeeding
- Multimorbid elderly
- Patients with pre-existing conditions
- Extensive eczema or atopic eczema (neurodermatitis) (risk of eczema herpeticatum).
- Erythema exsudativum multiforme (synonyms: erythema multiforme, cocard erythema, disc rose) – acute inflammation occurring in the upper corium (dermis), which leads to typical cocard-shaped lesions; a distinction is made between a minor and a major form.
- Genital herpes (genital herpes)
- Herpes corneae (herpes simplex corneae, herpes simplex keratitis, herpetic keratitis; ocular herpes).
- Herpes zoster (shingles)
- Stomatitis (oral thrush; inflammation of the oral mucosa).
- Patients with herpes labilais in:
- Frequent recurrences (> six per year or longer than ten days).
- Unusual courses (severe local reactions with swelling and redness of the skin, purulent skin reactions, open skin areas, etc.).
- Strong vesicle formation or multilocular expression of herpes (eg, expansion of the skin infestation on the chin and nose).
- Eye involvement Attention! In the case of carryover of herpes viruses in the eyes, there is a risk of loss of eyesight
- Accompanying fever or feeling of illness (eg, due tobacterial superinfection).
