Infective Oral ulcerations/lesions

Question 1

describe what herpangina is and what its characterised by

Answer 1

benign clinical syndrome characterised by fever and painful papulo-vesiculo-ulcerative enanthem

Question 2

what causes herpangina and hand, foot and mouth disease(HMFD)

Answer 2

coxsackie virus(enterovirus)

Question 3

describe the presentation and exam of herpangina

Answer 3

abrupt onset with high fever

exam of throat = hyperemia and yellow/greying-white papulovesicular lesions

Question 4

what is sued for the diagnosis of HFMD and for herpangina

Answer 4

diagnosis clinically or by PCR of swab in viral transport medium

Question 5

what is hand, foot and mouth disease(HMFD) characterised by

Answer 5

oral enanthem and macular, maculopapular or vesicular rash of the hands and feet

Question 6

what causes primary syphilis

Answer 6

Treponema pallidum (bacteria)

Question 7

what is the most common site of primary syphilis infection

Answer 7

genital, but oral and pharyngeal sites can be site of entry

Question 8

describe the lesions seen with primary syphilis

Answer 8

clean, smooth bases and slightly elevated, indurated borders

can also have non-pruritic macules on trunk and limbs

Question 9

describe what aphthous ulcerations are

Answer 9

non viral recurrent painful oral lesions that are self-limiting

Question 10

describe the lesions seen with aphthous ulcerations

Answer 10

localised, shallow, round to oval ulcers with a yellowish adherent central exudate

Question 11

what are some of the risk factors associated with aphthous ulcers

Answer 11

genetics/FH, trauma, stress, smoking cessation, hormonal imbalance

Question 12

what systemic diseases can aphthous ulcers be seen with

Answer 12

coeliac disease, IBD, Behcet syndrome, acute HIV, SLE