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Thank you for publishing Dr Tsunoda and Dr Endo's article on nasal pain with bullae due to herpes simplex infection. It is a good illustration of the problems associated with recurrent herpes simplex infection in the immunosuppressed. I should take this opportunity to point out that the patient remains at risk of a further recurrence as she needs long term oral steroids for her Behcet's disease and prophylactic aciclovir should be considered to prevent them.
No competing interests
30 March 2020
Venkata S Gudi
Core Trainee in Psychiatry
Norfolk and Suffolk NHS Foundation Trust
Wedgwood House, West Suffolk Hospital, Bury St Edmunds IP33 2QZ