Ano-genital Herpes in Children

Many American children and families are affected by child sexual abuse. The diagnosis of sexual abuse is typically made on the basis of the child’s history. Objective evidence of sexual abuse, including abnormal physical findings noted on physical examination or the presence of a sexually transmitted disease, are rare. Ano-genital herpes is one of the most common sexually transmitted diseases found in adults. However, is the presence of ano-genital herpes in children evidence of sexual abuse? The link between ano-genital herpes and sexual abuse requires an understanding of viral transmission and typing to properly interpret its significance. Ano-genital herpes in children creates serious medical, social, and legal implications. It is important that primary care providers have an understanding of the appearance, mode of transmission, and diagnostic technique of ano-genital herpes. Implications for practice will provide guidelines for diagnosing, evaluating, and properly managing ano-genital herpes in children.