View source for Herpes gingivostomatitis

==Background==
[[File:Herpesgingiva.jpg|thumb|Herpes gingivostomatitis of mouth]]
*Primary [[HSV-1]] infection of lips, gingiva, and tongue
**HSV-2 associated with genital disease
*Usually occurs in childhood<ref name="George">George AK, Anil S. Acute Herpetic Gingivostomatitis Associated with Herpes Simplex Virus 2: Report of a Case. Journal of International Oral Health : JIOH. 2014;6(3):99-102.</ref>
*90% of population is seropositive by age 40<ref name="George" />
*Treatment does not affect dormant virus in nerve ganglions → recurrent disease remains possible

==Clinical Features==
*Prodrome of [[fever]], [[myalgia]]s, and cervical [[lymphadenopathy]]<ref name="Mohan" />
*Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)
**Can be extremely painful and → odynophagia
*Lasts approximately 1-4 weeks without treatment, course shortened with treatment

==Differential Diagnosis==
{{HSV-1 DDX}}

{{DDX oral rashes and lesions}}

==Evaluation==
{{HSV-1 standard diagnosis}}

==Management==
{{HSV-1 antiviral treatment}}

*[[Analgesia]] (e.g. [[acetaminophen]] and/or [[ibuprofen]])
*PO intake is important
**Consider viscous [[lidocaine]] before meals<ref name="George" />

==Disposition==
{{HSV-1 disposition}}

==See Also==
*[[Herpes Simplex Virus-1]]
*[[Oropharynx and jaw diagnoses]]

==External Links==


==References==
<references/>

[[Category:ID]]