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Herpangina
Aka: Herpangina
- See Also
- Hand Foot and Mouth Disease
- Epidemiology
- Occurs in summer months (may be epidemic)
- Preschool children and their siblings
- Pathophysiology
- Fecal-oral transmission
- Etiology
- Coxsackie Virus
- Echovirus
- Symptoms
- Fever
- Dysphagia
- Drooling
- Vomiting
- Headache
- Signs
- Non-toxic appearance
- Multiple small 1-2 mm Vesicle or ulcers
- Soft Palate, posterior pharynx, Tonsillar Pillars and uvula
- Spares the anterior pharynx
- Contrast Hand Foot and Mouth Disease which spares the posterior pharynx
- No skin lesions
- Unlike Hand Foot and Mouth Disease
- Differential Diagnosis
- Hand Foot and Mouth Disease
- Vesicles in anterior pharynx, sparing posterior pharynx
- Aphthous Ulcer
- Primary Herpetic Gingivostomatitis
- External Vesicles are only seen with HSV (not with Herpangina or Hand Foot and Mouth Disease)
- Course
- Illness of 1 week duration with rare complication