Herpangina
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- Localization. Lips and mouth
- Erythematous lesion? Erythematous lesion
- Evolution time. Acute: less than 2 weeks
- Skin lesion. With fluid: vesicle, blister or pustule
- Surface texture. Crust/ulceration/excoriation
- Edges Well defined and regular
- Color.
- Distribution of lesions. Multiple widespread/scattered lesions
- Associated symptoms. Fever, Pain
- Additional information. Contact with people with the same signs/symptoms
Brief information
- Viral infection caused by group A Coxsackie viruses (occasionally other enteroviruses may be involved).
- More frequent in the summer period.
- It most frequently affects children between 3 and 10 years of age.
- It manifests itself in the form of enanthema of the posterior oropharynx with initially papular lesions that evolve within 24-48 hours to vesicular and, later, ulcerative. They are usually smaller than 5 mm in size, occurring discreetly/isolated, in different numbers (generally between 1 and 15).
- Lesions are often located on the tonsillar pillars, uvula, tonsils, posterior pharyngeal wall, and occasionally on the upper buccal surface or tongue.
- Within a period of 2 to 3 days after the onset of the condition, the lesions increase in size and present an erythematous ring around them.
- Some of the symptoms that may be associated with the condition are: high fever with an abrupt onset, sore throat, headache, anorexia and neck pain.
- It is a self-limiting disease: lesions can generally persist for about 1 week.
Differential diagnosis
- Hand-foot-and-mouth disease
- Herpes Simplex
- Aphthous stomatitis
- Pharyngitis
- EBV infection
Treatment
- It is a self-limiting disease, and no targeted therapy is indicated.
- Supportive treatment to relieve symptoms includes hydration, antipyretics and topical analgesia.