Recurrent herpes simplex virus (HSV-1 or HSV-2) infections of the lips, fingers (whitlow), eye (keratoconjunctivitis), genitals, vulva, cervix, buttocks, or skin (eczema herpeticum, herpes gladiatorum) are common [1,2]. HSV-1 or HSV-2 infections may develop on the extremities and may be accompanied by lymphangitis and local edema. Recurring infections are the result of persistent infection in adjacent neuronal ganglia (usually sensory ganglia) with intermittent axonal spread to the skin [2-5]. This case of recurrent swelling with erythema of the right forearm accompanied by episodes of fever, diarrhea, and progressive swelling of the arm resembled streptococcal or staphylococcal erysipelas. I could find no similar report.