Ulceration

Question 1

what virus causes ulceration?

Answer 1

HSV

Question 2

what causes primary gingivostomatitis?

Answer 2

HSV1

Question 3

who gets primary gingivostomatitis?

Answer 3

pre school children

Question 4

clinical features of primary gingivostomatitis?

Answer 4

lips, buccal mucosa and hard palate affected
vesicles
ulcers
fever, lymphadenopathy, systemic upset

Question 5

treatment for primary gingivostomatitis?

Answer 5

as required

if spreads beyond mouth, aciclovir

Question 6

where can HSV become latent?

Answer 6

sacral root ganglion

Question 7

what results from reactivation?

Answer 7

cold sores

Question 8

treatment for cold sores?

Answer 8

acyclovir

but this does not treat the latency

Question 9

what is a herpetic whitlow?

Answer 9

abscess at the end of the finger

Question 10

what does herpes simplex encephalitis cause?

Answer 10

temporal lobe necrosis

Question 11

how to confirm HSV?

Answer 11

swab in virus transport medium

viral DNA detected by PCR

Question 12

what are apthous ulcers?

Answer 12

recurrent non viral painful ulcers of the mouth

Question 13

describe apthous ulcers?

Answer 13

round/ovoid with inflammatory halos

Question 14

features of apthous ulcers?

Answer 14

confined to mouth
no systemic disease
begin in childhood
ulcer lasts <3 weeks

Question 15

treatment of apthous ulcers?

Answer 15

self limiting

Question 16

name a syndrome that has genital and oral ulcers?

Answer 16

Behçet’s