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surgical excision?


Celinaxox

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https://www.ncbi.nlm.nih.gov/m/pubmed/28508238/

"led to resolution without recurrances"

hmm I realize this is a special case and the lesion grew but I have a huge recurring ulcer at the same spot and often wonder if removal would help eradicate some of the virus? obviously not cure it. I am not a scientist and yeah surgery would be too major for hsv. But what about those severe cases ? just putting it out there.

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I'm not familiar with the case study but this appears to be an extreme case on a few levels.  On the surface it seems the patient had a hypertrophic mass (like a growth) which is the reason they operated, not because of HSV alone.  The patient wasn't responding to various antivirals and his having HIV was the large contributing factor to his condition.

The virus lives within the nerves so removing an area of the skin where lesions appear would not rid someone of the virus.  Would it lessen a reoccurring outbreak?  Possibly.  It's also possible that after a surgery an outbreak may appear in a slightly different location and then you're back to square one.

Thanks for sharing the case study.

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