A member asked:

I recently got blood work done and it came back positive for hsv 2. now i feel like i have an underground pimple on my upper lip. can i jave hsv1?

11 doctors weighed in across 3 answers

HSV: You can have HSV2 of the oral area and HSV1 of genital area. It is a misunderstanding that HSV1 is limited to oral and HSV2 is limited to genital. If the oral or genital or anal area come into contact with either HSV1 or HSV2, it will contract that virus. If you develop oral lesions or "cold sore" it is probably HSV2 but may be HSV1, it doesn't matter. You still treat with the same antivirals.

Answered 5/3/2015

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Could be hsv1 or 2: The herpes virus is transmitted with contact. It is not true that HSV 1 is only oral and HSV 2 is only genital. The virus does not care where it gets deposited- so you can absolutely have a genital HSV1 or an oral lesion that is HSV2 passed from person to person. Have the area evaluated by MD to confirm diagnosis and consider treatment with acyclovir, or alternative antiviral .

Answered 11/7/2014

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Dr. David Lipkin answered

Specializes in Internal Medicine

Hard to say: More than 90% of people in the U.S. have been exposed to HSV1, and serologic blood test will be positive. If a person has pimple on the lips that's HSV1 it will usually be tender, somewhat raised and look like a small blister or group of blisters(vesicles). If the HSV1 blood test is negative a lesion on the lip may still be HSV1 as it can take 6 wks for test to be (+). 1st time HSV1 more severe

Answered 2/2/2016

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