HSV-1 is generally associated with infection in the tongue, mouth, lips, pharynx and eyes.
As with other serological tests, negative results do not rule out the diagnosis of herpes simplex disease. The time required to seroconvert following primary infection varies with the individual, the specimen many have been drawn prior the appearance of detectable antibodies. There are reports of sero-reversion. When appropriate, e.g., in suspected early herpes simplex disease, the test should be repeated or tested with a different assay. If on re-testing, the result remains negative, then a second sample should be drawn 4-12 weeks later and testing repeated. A single positive result only indicates previous immunologic exposure; level of antibody response or class of antibody response may not be used to determine active infection or disease stage.