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Herpetic gingivostomatitis infections can present as acute or recurrent. Acute infection refers to the first invasion of the virus, and recurrent is when reactivation of the latent virus occurs. [7] Acute herpetic gingivostomatitis primarily occurs in children, particularly of those under the age of six years old. [8]
Allergic contact stomatitis (also termed "allergic gingivostomatitis" or "allergic contact gingivostomatitis") [6] is a type IV (delayed) hypersensitivity reaction that occurs in susceptible atopic individuals when allergens penetrate the skin or mucosa.
Herpetic whitlow in a young child who earlier had developed herpes gingivostomatitis: ... In children the primary source of infection is the orofacial area, ...
[14] Herpes virus infection may take the form of primary herpetic gingivostomatitis (HSV-1) [12] [15] or of infection by human herpesvirus 6 (HHV-6), which infects 90% of children by age 2. [16] "The symptoms of elevated temperature and facial rash could be explainable by infection with the HHV-6 agent, which is ubiquitous among infants of ...
A diagnosis can be made from clinical signs and symptoms, and treatment consists of minimizing the discomfort of symptoms. [5] It can be differentiated from herpetic gingivostomatitis by the positioning of vesicles - in herpangina, they are typically found on the posterior oropharynx, as compared to gingivostomatitis where they are typically found on the anterior oropharynx and the mouth.
Eye infection, in the form of conjunctivitis or keratitis, can happen when the eyes are rubbed after touching the lesion. Finger infection (herpetic whitlow) can occur when a child with cold sores or primary HSV-1 infection sucks his fingers. [29] [30] Blood tests for herpes may differentiate between type 1 and type 2.
Malaise, fever and/or cervical lymph node enlargement are rare (unlike the typical features of herpetic stomatitis). [3] Pain is fairly well localized to the affected areas. [3] Systemic reactions may be more pronounced in children. [2] Cancrum oris (noma) is a very rare complication, usually in debilitated children. [3]
Herpes simplex (infection with herpes simplex virus, or HSV) is very common in the mouth and lips. This virus can cause blisters and sores around the mouth (herpetic gingivostomatitis) and lips (herpes labialis). HSV infections tend to recur periodically. Although many people get infected with the virus, only 10% actually develop the sores.