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Secondary Herpetic Stomatitis ppt

| April 26, 2011 | 0 Comments

Secondary Herpetic Stomatitis | ppt

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Definition and etiology

Secondary or recurrent herpetic stomatitis is a relatively common oral and perioral disease that is due to reactivation of HSV-1.
It is commonly precipitated by fever, trauma, cold, heat, sunlight, emotional stress, and HIV infection.
Secondary Herpetic Stomatit Secondary Herpetic Stomatitis ppt

Clinical features

•The most common sites of recurrence for HSV-1 are the lips and perioral skin, the palate, and the attached gingiva.
•Clinically, the lesions present as multiple small vesicles arranged in clusters (Fig.).
•The vesicles soon rupture, leaving small ulcers that heal spontaneously within 6–10 days.
•Prodromal symptoms are burning, itching, tingling, and erythema.
•Characteristically, fever, generalized regional lymphadenopathy, and constitutional symptoms are absent.
•The diagnosis is made on clinical grounds.

Differential diagnosis

•Aphthous ulcers,
•primary and secondary syphilis,
•streptococcal stomatitis,
•herpangina.

Treatment

•Symptomatic.

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