Herpangina B08.5

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 07.02.2021

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Synonym(s)

herpetic pharyngitis; Pharyngitis ulcerative; ulcerative pharyngitis; vesicular pharyngitis

History
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Zahorsky, 1920; Cole, 1951

Definition
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Infection of the pharynx by human enterovirus A (coxsackie virus-A) by droplet infection from person to person.

Pathogen
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Coxsackie viruses of groups A2, A4, A5, A6, A8, A10, B4.

Occurrence/Epidemiology
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Worldwide occurrence, mainly in summer, leaves permanent immunity

Etiopathogenesis
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Coxsackie virus infection.

Clinical features
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Incubation period: 2-5 days. Acute fever increase with biphasic fever course. Influenza-catarrhal phenomena. Occurrence of glass pinhead-sized, chain-like arranged, yellowish-pink, frogspawn-like vesicles on the soft palate and the palatal arches. Transformation into smeary-coated erosions with hyperemic surroundings.

Differential diagnosis
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Therapy
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Symptomatic. Irrigation with wound healing or astringent throat therapeutics such as dexpanthenol solution(e.g. Bepanthen, R066 ) or chlorhexidine solution(e.g. chlorhexidine gluconate solution, R045 ).

Progression/forecast
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Favorable, healing in 10-14 days.

Literature
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  1. Cole RM (1951) Studies of Coxsackie viruses: Observations on epidemiological aspects of group A viruses. At J Pub Health 41: 1342

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 07.02.2021