VESICULOBULLOUS LESIONS (VIRAL - COXSACKIE VIRUS)

Question 1

HERPANGINA

Answer 1

• ACUTE VIRAL INFECTION
• CAUSE: CONTAMINATED SALIVA/FECES
• INFANTS/YOUNG CHILDREN
• SYMPTOMES: MALAISE, FEVER, DISPHAGIA, SORE THROAT
• LESIONS: SOFT PALATE/TONSILLAR PILLARS. BEGIN (RED MACULES) WHICH FORM FRAGILE VESICLES THAT RAPIDLY ULCERATE
• SYSTEMIC SYMPTOMS: RESOLVE FEW DAYS
• ULCERATIONS: RESOLVE 7-10 DAYS

Question 2

HAND-FOOD-AND-MOUTH DISEASE

Answer 2

• ACUTE/CONTAGIOUS VIRAL INFECTION
• CAUSE: COXSACKIE VIRUS
• SKIN RASH/ORAL LESIONS ASSOCIATED WITH FLULIKE SYMPTOMS (SORE THROAT, DYSPHAGIA, FEVER) LIKE HERPANGINA
• VESICULAR ERUPTIONS (PALMS OF HANDS, SOLES OF FEET, MUCOSA ANTERIOR PART MOUTH
• ORAL LESIONS: SMALL VESICLES RAPIDLY RUPTURE LEAVING SHALLOW ULCERS (RED HALO MOST COMMONLY ON THE BUCCAL MUCOSA, LABIAL MUCOSA, TONGUE)
• MOST CASES: HERPANGINA/HFM ARE SELF-LIMITING WITHOUT SIGNIFICANT COMPLICATIONS
• THERAPY: DIRECTED SYMPTOMATIC RELIEF, NONASPIRIN ANTIPYRETICS, TOPICAL ANESTHETICS