To the Editor.—
This kind of herpes described by Mauriac in 1876 is a rarity in medical literature.1-5
Report of a Case
A 71-year-old woman was seen from 1965 to 1970 with an extremely painful herpetic eruption between the labia majora and the anus. It recurred every 25 to 30 days. The pain radiated along the sciatic nerve. It intensified as soon as the cutaneous manifestations subsided. The excruciating pain was accompanied by tenesmus and a depressing feeling of rectal prolapse. It was worse during the night. The patient could sleep only in the genupectoral position.While antiviral "Moroyxydine" helped in drying up the cutaneous manifestations, it had no effect on the pain. This very rare local neurosis is difficult to explain.
Maruri CA, Diaz LA. MAURIAC'S GENITAL NEURALGIC HERPES. Arch Dermatol. 1971;104(1):100. doi:10.1001/archderm.1971.04000190102023