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Top of the page. Cold sores , sometimes called fever blisters, are groups of small blisters on the lip and around the mouth. Often the first sign of a cold sore is a spot that tingles, burns, or itches. A blister usually forms within 24 hours. The skin around the blisters is often red, swollen, and sore. The blisters may break open, leak a clear fluid, and then scab over after a few days.
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Herpes — the scourge of sexually active youth during the s — has gone underground. But it ought to be. Genital herpes remains an epidemic, just as prevalent now as it was a generation ago. And just as incurable. The virus can be spread through oral or genital contact, invading the body through a crack in the skin or through mucus membranes. What can follow are searingly painful ulcers, sometimes accompanied by fever, aches and swollen lymph nodes. The initial episode can last for more than 20 days.
After that, most people who have it get about four outbreaks per year, often triggered by stress, though a minority suffer more frequent recurrences. Even if herpes were reportable, precise figures would be elusive because studies have shown that up to 80 percent of people who test positive for herpes antibodies may have symptoms so mild that they fail to recognize them, or may have no symptoms at all.
Reports from a variety of clinical settings in the United States suggest that the incidence and prevalence of genital herpes increased fold from the s to the s. By the early s, an estimated 45 million Americans were infected with herpes simplex virus type 2, the most common cause of genital herpes. She soon developed multiple blisters that became so painful it hurt even to walk or urinate.
Mortified at the prospect of rejection, she kept her condition a secret from subsequent boyfriends and then was weighed down by silent guilt when each in turn was diagnosed with the disease.