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Gingivostomatitis herpetica  


Herpetic stomatitis expresses the initial manifestation of the herpes simplex virus type 1 and 2. The lesion appears normally just once and mostly during childhood. After an incubation period of 2-7 days, general symptoms like fever, emesis and fatigue occur in combination with swelling of the palate, the gingiva and the regional submandibular lymph nodes. The numerous vesicles that follow rupture rapidly and turn into painful aphthous-like ulcers, typically located on the anterior part of the mouth. Bad breath and sialorrhea are characteristic. The lesions heal within 10-14 days. Symptomatic treatment is induced, virostatic agents may be conducive if used at an early stage. Reactivation of the virus causes the common herpes labialis.

Pathogen: Herpes Simplex Virus Type 1 or 2
Transmission path: droplet infection, contact with lesions
Incubation time: 2-7 days
Contagiousness: until the lesion crust over
Prodromal symptoms: fever, fatigue, muscle aches, cervical and submandibular lymphadenopathy
Symptoms: sialorrhea, foeter ex ore, aphthoid lesions/ ulcerations
Treatment: symptomatically
Complications: bacterial superinfections, eczema herpeticum, herpes simplex encephalitis back




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Stomatopedia is a free educational platform for stomatology, oral pathology of the soft tissue diseases in children and adolescent. Oral soft tissue diseases exhibit distinctive clinical features and require visual recognition to establish an exact diagnosis. Therefore we share our clinical features with Paedriatricians, Medical Practitioners and Paediatric Dentists and we hope it will be helpful in distinguishing one lesion from another as a part of the diagnostic process. We have set our priority to lesions in children and adolescents and we hope this set focus will stress and develop cooperation. The editors are interested to create a lively exchange about the topics in pictures an in discussion.

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Richard Steffen
Dr. med dent. WBA KZM SSO
Oberarzt, Assist. Prof.
Member EAPD
UZB, Universitäres Zentrum für Zahnmedizin
Mattenstrasse 40
CH 4058 Basel
dr.richard.steffen@gmail.com
richard.steffen@unibas.ch

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