Pediatric emergency medicine trisk 1020 1020

FIGURE 52.1 Oral lesions a Herpes gingivostomatitis or labialis b Trench mouth, acute necrotizing ulcerative gingivitis c MIRM, m ycoplasma-i nduced r ash and m ucositis d PFAPA, p eriodic f ever, a phthous stomatitis, p haryngitis, and cervical a denitis syndrome Hand, foot, and mouth disease is a self-limited viral infection characterized by discrete shallow erosions in the mouth, especially on the soft palate, erythematous papulovesicular lesions on the hands and feet, and often high fevers It is generally caused by coxsackievirus or other enteroviruses Herpangina is a similar infection, commonly caused by group A coxsackievirus, with pharyngeal vesicles as well as fever, muscle aches, and malaise Treatment in both cases is supportive, with antipyretics, topical and systemic analgesics, and attention to hydration