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September 1955

Primary Herpetic Vulvovaginitis

AMA Arch Derm. 1955;72(3):272-274. doi:10.1001/archderm.1955.03730330052007

Primary herpetic vulvovaginitis is one of the protean manifestations of herpes simplex virus infections. This entity was described first by Slavin and Gavett1 in 1946 and subsequent reports were made by Krugman2 and McNair Scott and associates.3 Brief reference to primary herpetic vulvovaginitis is made in some leading recently published or revised textbooks, but questioning of colleagues reveals a general unfamiliarity with the entity. Because of the latter reason, it was felt that a report and discussion of the following cases would be of value.

Case 1.—M. R., a 23-year-old white woman, was first seen in March, 1952, when she complained of burning on urination and pain and swelling of the vulva and vagina. Small clusters of vesicles and erosions in the area were seen by the patient 24 hours before examination.

Contact History.—Eight days prior to the onset of symptoms, the