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Recurrent herpes labialis in skiers

Clinical observations and effect of sunscreen

the Infectious Disease Unit and Medical Service, San Francisco General Hospital; the Departments of Medicine and Microbiology, University of California, San Francisco

Laurie Hauer, RN

the Infectious Disease Unit and Medical Service, San Francisco General Hospital; the Departments of Medicine and Microbiology, University of California, San Francisco

Alan Gottlieb, PA-C

the Infectious Disease Unit and Medical Service, San Francisco General Hospital; the Departments of Medicine and Microbiology, University of California, San Francisco

Sydney Dromgoole, PhD

Herbert Laboratories, Irvine California

Spotswood Spruance, MD

Division of Infectious Diseases, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah

Recurrent orofacial herpes infection may be triggered by high altitude skiing, presumably because of solar ultraviolet radiation exposure. Six (12%) of a group of 51 subjects with a history of skiing-triggered herpes observed during 1 week of high altitude skiing experi enced reactivations of orofacial herpes a median of 3¹/₂ days after exposure. Within this group, application of a sunscreen with a sun protection factor (SPF) of 15 failed to influence the reactivation rate as compared with a placebo.

Reactivation of herpes triggered by skiing is common. As application of a sunscreen with an SPF of 15 did not appear to influence the reactivation rate, alternate approaches to the control of recurrent orofacial herpes are needed.