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The virus interacts with the components and receptors of lipoproteins, which may lead to its development.Herpes transmission occurs between discordant partners; a person with a history of infection (HSV seropositive) can pass the virus to an HSV seronegative person.In all cases, HSV is never removed from the body by the immune system.Following a primary infection, the virus enters the nerves at the site of primary infection, migrates to the cell body of the neuron, and becomes latent in the ganglion.

To infect a new individual, HSV travels through tiny breaks in the skin or mucous membranes in the mouth or genital areas.Herpes whitlow is a painful infection that typically affects the fingers or thumbs.On occasion, infection occurs on the toes or on the nail cuticle.Herpetic keratoconjunctivitis, a primary infection, typically presents as swelling of the conjunctiva and eyelids (blepharoconjunctivitis), accompanied by small white itchy lesions on the surface of the cornea.Herpetic sycosis is a recurrent or initial herpes simplex infection affecting primarily the hair follicle.

Individuals who participate in contact sports such as wrestling, rugby, and football (soccer), sometimes acquire a condition caused by HSV-1 known as herpes gladiatorum, scrumpox, wrestler's herpes, or mat herpes, which presents as skin ulceration on the face, ears, and neck.