| ID | 33 |
|---|---|
| Name | Herpetic Stomatitis |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | Herpetic stomatitis occurs in most children, but may be so mild, in many cases it goes unrecognized. In severe cases there is fever, malaise & lymphadenopathy associated with multiple severely painful yellow-gray oral ulcerations (most common on the gingiva & lips), erythema & oedema. Recurrent intra-oral infections are very rare. The differential diagnosis includes erythema multiforme pemphigus & infectious mononucleosis. The diagnosis is mostly clinical & may be confirmed by seeing pseudogiant cells on cytologic smear or identifying the herpes simplex virus by monoclonal antibodies |
| History | |
| Etiology | |
| Clinical Features | |
| Preventions | |
| Treatment | Treatment: Treatment is mostly supportive with- 1. Analgesics 2. Mouth rinses 3. Soft or liquid diet 4. In severe cases, i.v hydration may be required during the 1-week ascent & 1-week decline in symptoms. 5. Acyclovir (200-800mg 5 times daily for adult & above 2 years; under 2years 100mg 5 times daily, for total 7-14 days) may shorten the course & reduce post herpetic pain. 6. Physical rest. |
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