{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:05:25Z","timestamp":1790705125322,"version":"4.1.0"},"reference-count":8,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2001,1,1]],"date-time":"2001-01-01T00:00:00Z","timestamp":978307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2001,1,1]],"date-time":"2001-01-01T00:00:00Z","timestamp":978307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dermatology"],"published-print":{"date-parts":[[2001]]},"abstract":"<jats:p>&lt;i&gt;Background and Objective:&lt;\/i&gt; Most data of genital herpes have been collected in STD clinics in the USA where unrecognized forms accounted for 80% of HSV-2 infections. Our aim was to study the clinical features in an outpatient clinic of dermatology. &lt;i&gt;Methods:&lt;\/i&gt; The charts of 170 patients, previously monitored prospectively for a HIV prevalence study, with culture-confirmed genital herpes or herpetic infection with HSV-2 at any other site presenting between 1995 and 1999 were analyzed. &lt;i&gt;Results:&lt;\/i&gt; 111 (65%) men and 59 (35%) women were identified with a mean age of 44 years. Only 49% had a typical cluster of genital lesions. Eighty-six (51%) presented with either lesions at extragenital sites [mostly the buttocks 33\/170 (19%), thigh 10\/170 (6%), anal region 9\/170 (5%) and fingers 8\/170 (5%)] or showed morphologically atypical forms of isolated genital lesions [single ulcer 16\/170 (9%), erosion 6\/170 (4%), crust 3\/170 (2%) and fissure, edema or erythema each 1\/170 (1%)]. Women significantly presented more often with extragenital infections of HSV-2 [36\/59 (61%)] than men [18\/111 (16%)]. &lt;i&gt;Conclusions:&lt;\/i&gt; More than half of the patients with genital herpes of a mainly immunocompetent population presented with atypical manifestations. The underdiagnosis of genital herpes seems largely due to misinterpretation of atypical genital and extragenital lesions.<\/jats:p>","DOI":"10.1159\/000051639","type":"journal-article","created":{"date-parts":[[2003,4,15]],"date-time":"2003-04-15T12:11:24Z","timestamp":1050408684000},"page":"211-219","source":"Crossref","is-referenced-by-count":54,"title":["The Heterogeneous Clinical Spectrum of Genital Herpes"],"prefix":"10.1159","volume":"202","author":[{"given":"Stephan","family":"Lautenschlager","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Eichmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2001,5,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199710163371601"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9071(199910)59:2<194::AID-JMV11>3.0.CO;2-9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1258\/0956462991914609"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.241.2.157"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/sti.76.3.179"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1086\/315395"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136\/sti.76.3.183"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199509213331205"}],"container-title":["Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/51639","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/51639","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:07:40Z","timestamp":1745467660000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000051639"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2001,7,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000051639","archive":["Portico"],"relation":{},"ISSN":["1018-8665","1421-9832"],"issn-type":[{"value":"1018-8665","type":"print"},{"value":"1421-9832","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001]]}}}