HSV on nostrils....

[indrisek]

This is probably going to sound really stupid, but...

Months ago I had HSV tests for both type I and II. Both negative (and both reliable tests according to your criteria on Medhelp, Dr.).

During the past week I have developed an irritation on my nostrils. It started on my right nostril--kind of red and sore, and then flaky and almost scabby. Then it started on my left nostril just the other day, same thing..

I know you can't make judgement online, but I guess the question is--how common would it be to experience HSV on the nostrils without ANY corrollary sore on the lips whatsoever? Would HSV generally attack BOTH nostrils at once? I also have an ongoing skin irritation on my face (cheeks) that becomes irritated and infected...and I tend to scratch/touch that area rather often...so I'm thinking I might have spread it to my nostrils that way...

In any case, any info would be appreciated before I make specialist dermatology appointments and the like. THe nostrils are a bit irritated, but no more so then if it was chafed skin...which is kind of what it looks like.

[H. Hunter Handsfield, M.D.]

Initial HSV infection is an unlikely cause of "irritation" of the nostrils, and red soreness followed by flakiness doesn't sound like herpes.  The first oral-area infection with HSV-1 typically causes multiple painful sores in the mouth and a horribly painful sore throat.  I don't recommend you visit a health care provider about this at all.  Just move on with life.

Good luck-- HHH, MD

[Kateja07]

Just based on my own experience it doesn't sound like herpes to me.  I am fortunate in one way because I don't get cold sores on my face only in my nostril which can be painful at times.  Everytime I have had an outbreak it's ALWAYS been on the same side so it is highly unlikely that you would have outbreaks in both nostrils.  Just my opinion.