With a major an infection, athletes could have a 4 to 11 day incubation interval the place an infection is subclinical. A prodrome of hyperesthesia and parasthesia can precede cutaneous manifestation and no systemic signs are current initially. As soon as symptomatic, a maculopapular vesicular rash will seem on roughly day 2. They coalesce with a minimally reddened base. In major an infection, athletes will even develop systemic signs together with malaise, low-grade fever, sore throat, lymphadenopathy, and headache. Along with the plain rash, physicians should contemplate and carry out a cautious oral examination searching for gingivostomatitis and eye examination searching for herpes keratitis. A fluorescein examination is indicated if the face is affected. Missed herpes keratitis may end up in everlasting imaginative and prescient loss. The rash also can happen in a beard distribution from autoinnoculation whereas shaving, a presentation termed Herpetic Sycosis. Secondary HG or recurrence is widespread however presents with extra gentle signs in the identical dermatomal distribution.
