DermatologyTier 1Topic overview

Viral infections

Framing

  • Cutaneous viral infections span three clinically distinct patterns: vesicular/ulcerative (herpes simplex virus), dermatomal vesicular with reactivation potential (varicella-zoster virus), and proliferative/wart-forming (human papillomavirus) - each with a distinct virological basis and treatment approach
  • HSV and VZV are both managed with antivirals when treatment is indicated, while HPV-related warts are managed with destructive/immune-modulating local therapy rather than systemic antivirals, reflecting HPV's different mechanism (local epithelial proliferation rather than lytic/latent neuronal infection)

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