Herpangina

Background

• Caused by coxsackievirus
• Similar to Hand, Foot, and Mouth Disease but without skin lesions

Clinical Features

• Prodrome
  • Sudden onset of high fever, sore throat, malaise
• Rash appears 24-48hr after prodrome
  • Vesicles 1-2 mm in size that rupture leaving shallow, painful whitish ulcers on soft palate/posterior pharynx
  • Similar to hand, foot, mouth disease but w/o skin lesions
• Lasts 7-10d

Differential Diagnosis

• Hand-Foot-and-Mouth Disease
• See also Pediatric Rashes

Workup

• None (clinical diagnosis)
  • If unsure, see Pediatric Fever

Management

• No specific therapy for most, self-limited
• Consider Magic Mouthwash if not tolerating PO intake

Disposition

• Home/Outpatient

See Also

• Enteroviral Infections
• Pediatric Rashes