I had index finger and thumb lesions biopsied and cultured 10 days ago, as i have had 3 herpes zoster outbreaks in the last 4 years. I am receiving immunosuppressive medications to treat Rheumatoid arthritis, and have for over 10 years. I have had biopsy of finger lesion last year to determine cause of frequent skin lesions as i also have pustular psoriasis. The culture last year showed it was due to my RA. My rheumatologist thought this outbreak was possibly shingles, so i was seen by my dermatologist. I was notified that the current culture showed HSV type 1 AND type 2. I have never had any oral or genital lesions and have been in a monogamous relationship for 20 years with a partner with no history of lesions. Is this a primary outbreak? How/where did i contract it? If there are future outbreaks, where will they be? Do i need to be concerned about transmitting HSV orally or genitally or is it limited to hands? Because i do have frequent open sores on hands, is it possible that the HSV was transmitted to me from hand to hand contact from an infected person. I don't think i can handle another chronic disease. Thanks for your help.
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