Recurrent herpes labialis — clustered vesicles on the vermilion border.

Recurrent herpes labialis is caused by HSV-1 reactivation. Early antiviral therapy (famciclovir, acyclovir, or valacyclovir) shortens the duration and may abort a prodromal episode. Topical options include acyclovir cream and penciclovir cream. The patient should avoid contact sports (wrestling) until lesions crust over — risk of transmission ("herpes gladiatorum").13. Bell's Palsy & Miscellaneous