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Herpes simplex virus (HSV) type 1 and 2 are both known to cause mucosal and skin infections. HSV-1 is regarded as the main virus type in the orofacial region, whereas HSV-2 is mainly associated with genital infections. Recently, an increase in HSV-1 genital infections has been described in some countries. We investigated the proportion of HSV-1 and HSV-2 isolates from different mucocutaneous regions using diagnostic laboratory database at HUSLAB, Helsinki during the years 2011–2014. Distribution of HSV-1 and HSV-2 among samples was analyzed. [ABSTRACT FROM AUTHOR]

Almost all patients with autoimmune polyendocrine syndrome type 1 (APS-1) have neutralizing antibodies against type 1 interferons (IFN), important mediators of antiviral defense. Recently, neutralizing anti-IFN antibodies were shown to be a risk factor of severe COVID-19. Here we show in a cohort of 44 patients with APS-1 that higher titers of neutralizing anti-IFNα4 antibodies are associated with a higher and earlier incidence of VZV reactivation (herpes zoster). The patients also present with uncommonly severe clinical sequelae of herpetic infections. APS-1 patients had decreased humoral immune responses to varicella zoster virus, but cellular responses were comparable to healthy controls. These results suggest that blocking the type I interferon pathway in patients with APS-1 patients leads to a clinically significant immune deficiency, and susceptibility to herpesviruses should be taken into account when treating patients with APS-1. • Patients with APS-1 have high incidence of VZV reactivation. • VZV reactivations are associated with high neutralizing anti-interferon antibody titers. • The patients have decreased humoral immune responses to varicella zoster virus. • The patients often present with severe clinical sequelae of herpesvirus infections. [ABSTRACT FROM AUTHOR]