157 Herpes labialis Instruction Look at this patient’s mouth. Salient features History • Pain, itching, burning lasting several hours • Vesicles • Sore mouth • Fever • Gum swelling • Mouth ulcers. Examination • Small vesicles with an erythematous base on the lips and around the mouth (Fig. 157.1) • Look for: • vesicles in the mouth (gingiva, tongue, soft and hard palate) and pharynx • tender anterior cervical lymph nodes. Fig. 157.1 Clustered intact vesicles at the skin-vermilion junction. (With permission from DeLee et al. 2009.) Diagnosis This patient has small vesicles around the mouth (lesion) from herpes labialis (aetiology), which is causing severe itching (functional status). Questions What usually causes a ‘cold sore’? Skin manifestations include vesicular lesions on an erythematous base. Only 10–30% of new infections are symptomatic. Herpes simplex virus (HSV) type 1 causes an asymptomatic gingivostomatitis in children. In adults, there may be severe stomatitis with mouth ulcers, local lymph node enlargement and systemic features. What do you know about herpes simplex virus type 2? HSV-2 causes a genital infection called vulvovaginitis. Women with genital herpes should have cervical screening as a link is suspected with carcinoma of the cervix. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Dermatomyositis Arteriovenous fistula Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Herpes labialis Full access? Get Clinical Tree
157 Herpes labialis Instruction Look at this patient’s mouth. Salient features History • Pain, itching, burning lasting several hours • Vesicles • Sore mouth • Fever • Gum swelling • Mouth ulcers. Examination • Small vesicles with an erythematous base on the lips and around the mouth (Fig. 157.1) • Look for: • vesicles in the mouth (gingiva, tongue, soft and hard palate) and pharynx • tender anterior cervical lymph nodes. Fig. 157.1 Clustered intact vesicles at the skin-vermilion junction. (With permission from DeLee et al. 2009.) Diagnosis This patient has small vesicles around the mouth (lesion) from herpes labialis (aetiology), which is causing severe itching (functional status). Questions What usually causes a ‘cold sore’? Skin manifestations include vesicular lesions on an erythematous base. Only 10–30% of new infections are symptomatic. Herpes simplex virus (HSV) type 1 causes an asymptomatic gingivostomatitis in children. In adults, there may be severe stomatitis with mouth ulcers, local lymph node enlargement and systemic features. What do you know about herpes simplex virus type 2? HSV-2 causes a genital infection called vulvovaginitis. Women with genital herpes should have cervical screening as a link is suspected with carcinoma of the cervix. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Dermatomyositis Arteriovenous fistula Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Herpes labialis Full access? Get Clinical Tree
