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RECURRENT APHTHOUS
STOMATITIS
HERPES SIMPLEX VIRUS
HERPES SIMPLEX VIRUS
Human herpes virus family
*HHV-1 - Herpes simplex virus 1
*HHV-2 - Herpes simplex virus 2
*HHV-3 - Varicella zoster virus
*HHV-4 - Epstein barr virus
*HHV-5 - Cytomegalus virus
HSV - 1 :
spread- through infected saliva or
active perioral lesions.
sites - skin, oral, facial, ocular areas
pharynx and eyes.
HSV - 2 :
spread- through sexual contact
sites - genitals and skin below waist.
HSV - 3 :
Erythema Multiforme.
CLINICAL FEATURES :
1. ACUTE HERPETIC GINGIVOSTOMATITIS
* Most common.
* Age - 6 months to 5 years.
* Onset- abrupt.
* Anterior cervical lymphadenopathy, fever,
chills and sore mouth lesions.
* Affected mucosa – pin head vesicles
collapse
shallow irregular ulceration.
* Gingiva – enlarged, painful, erythematous
and punched out erosion.
* Usually a SELF LIMITING disorder.
2. PHARYNGOTONSILLITIS
(scrumpox)
peripheral branches.
HISTOPATHOLOGICAL FEATURES
DIFFERENTIAL DIAGNOSIS
Recurrent apthous stomatitis
Necrotisisng stomatitis
Ulcerative periodontal disease
TREATMENT