Herpes gingivostomatitis - Revision history

ClaireLewis at 17:27, 24 September 2019

2019-09-24T17:27:21Z

← Older revision		Revision as of 17:27, 24 September 2019
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	==Clinical Features==		==Clinical Features==
	*Prodrome of fever, ~~myalgias~~, and cervical ~~adenopathy~~<ref name="Mohan" />		*Prodrome of [[fever]], [[myalgia]]s, and cervical [[lymphadenopathy]]<ref name="Mohan" />
	*Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)		*Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)
	**Can be extremely painful and → odynophagia		**Can be extremely painful and → odynophagia
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	{{HSV-1 antiviral treatment}}		{{HSV-1 antiviral treatment}}

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

	==Disposition==		==Disposition==

2016-08-01T06:06:55Z

Text replacement - "approx " to "approximately "

← Older revision		Revision as of 06:06, 1 August 2016
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	*Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)		*Painful vesicular and/or ulcerative lesions of mucocutaneous areas (non-keratinized mucosa)
	**Can be extremely painful and → odynophagia		**Can be extremely painful and → odynophagia
	*Lasts ~~approx~~ 1-4 weeks without treatment, course shortened with treatment		*Lasts approximately 1-4 weeks without treatment, course shortened with treatment

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-28T04:46:29Z

Text replacement - "==Diagnostic Evaluation==" to "==Evaluation=="

2016-04-26T21:24:37Z

Disposition

← Older revision		Revision as of 21:24, 26 April 2016
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	==Disposition==		==Disposition==
	*Discharge if uncomplicated		{{HSV-1 disposition}}
	*Consider admission if immunocompromized

	==See Also==		==See Also==

2016-04-26T21:23:59Z

Disposition

← Older revision		Revision as of 21:23, 26 April 2016
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	==Disposition==		==Disposition==
	*Discharge		*Discharge if uncomplicated
			*Consider admission if immunocompromized

	==See Also==		==See Also==

2016-04-26T21:08:34Z

Differential Diagnosis

2016-04-26T21:02:39Z

2016-04-26T21:00:26Z

Background

← Older revision		Revision as of 21:00, 26 April 2016
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	==Background==		==Background==
			[[File:Herpesgingiva.jpg\|thumb\|Herpes gingivostomatitis of mouth]]
	*Primary [[HSV-1]] infection of lips, gingiva, and tongue		*Primary [[HSV-1]] infection of lips, gingiva, and tongue
	**HSV-2 associated with genital disease		**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>		*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" />		*90% of population is seropositive by age 40<ref name="George" />
			*Treatment does not affect dormant virus in nerve ganglions → recurrent disease remains possible
	~~[[File:Herpesgingiva.jpg\|thumb\|Herpes gingivostomatitis of mouth]]~~

	==Clinical Features==		==Clinical Features==

2016-04-25T21:32:21Z

Diagnostic Evaluation

← Older revision		Revision as of 21:32, 25 April 2016
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	==Diagnostic Evaluation==		==Diagnostic Evaluation==
	*Clinical diagnosis, based on history and physical exam		{{HSV-1 standard diagnosis}}
	*Available laboratory studies (not required for diagnosis)<ref name="Mohan">Mohan RPS, Verma S, Singh U, Agarwal N. Acute primary herpetic gingivostomatitis. BMJ Case Reports. 2013;2013:bcr2013200074. doi:10.1136/bcr-2013-~~200074.</ref>:~~
	**Viral culture (gold standard)
	**Direct immunofluorescence
	**Tzanck smear (poor specificity)

	==Management==		==Management==

2016-04-25T21:26:21Z

Management

← Older revision		Revision as of 21:26, 25 April 2016
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	==Management==		==Management==
	{{{HSV-1 treatment}}		{{HSV-1 antiviral treatment}}

	*Analgesia (e.g. Acetaminophen and/or Ibuprofen)		*Analgesia (e.g. Acetaminophen and/or Ibuprofen)

← Older revision		Revision as of 21:02, 26 April 2016
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	==See Also==		==See Also==
	*[[Herpes Simplex Virus-1]]		*[[Herpes Simplex Virus-1]]
			*[[Oropharynx and jaw diagnoses]]

	==External Links==		==External Links==