herpes simplex vs. aphthous ulcers Flashcards

(60 cards)

1
Q

what is seen mainly in children and is caused by HSV1 in most cases

A

primary herpes gingivostomatitis

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2
Q

herpes simplex.
sever primary infections have oral lesions accompanied by:

A

high fever
malaise
cervical lymphadenopathy
dehydration

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3
Q

herpes simplex.
less commonly, primary infection occurs in the young adult; in such cases infections may be from either:

A

HSV1 or HSV2

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4
Q

where do herpes gingivostomatitis/herpes simplex vesicles develop in oral cavity?

A

pharynx
palate
buccal mucosa
lips
tongue

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5
Q

herpes gingivostomatitis/herpes simplex vesicles rapidly break down into:

A

smaller ulcers and covered with exudate

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6
Q

how long do herpes gingivostomatitis/herpes simplex lesions generally resolve

A

without therapy, 2 weeks

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7
Q

HSV (does/doesnt) survive long in external environment

A

doesn’t

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8
Q

how does almost all primary HSV infections occur

A

from contact with infected person who is releasing the virus

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9
Q

HSV fever affects what % of population

A

50% (~80%)h

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10
Q

hsv fever starts what age

A

<10 from adults

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11
Q

is hsv contagious? caused by?

A

yes contagious and caused by adults

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12
Q

hsv
type 1=
type 2=

A

1=mouth lips face
2= genital outer lips and attached gingiva

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13
Q

what stage is contageous for hsv

A

vesicle stage

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14
Q

what signs of hsv arise 6-24 hours before lesions develop?
how long does it take to heal?

A

prodromal signs=tingling, itching, pain, burning

2 week

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15
Q

what does hsv look like

A

multiple fluid filled blisters
merge and collapse
yellowish crust

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16
Q

virus that is dormant in nerve cell and reoccurs with immune weakness

A

herpes simplex

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17
Q

what is considered immune weakness with herpes simplex

A

stress
fever
illness
injury
sunburn

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18
Q

infections of the thumbs or fingers
-grouped fluid filled or pus filled
usually itchy and painful

A

herpetic whitlow

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19
Q

in the past, how was primary herpetic gingivostomatitis treated?

what if diagnosed early?

A

treated symptomatically
but if diagnosed early, antiviral medications can have big influence

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20
Q

this medication is initiated during first 3 symptomatic days in a rinse-and-swallow tecnique 5x/day for 5 days.
-for primary herpetic gingivostomatitis

significant acceleration in clinical resolution is seen

A

acyclovir suspension

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21
Q

recurrent herpes labial is best treated in the

A

prodrome phase

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22
Q

what decrease the number of vesicles in herpes labialis?
clinically minimal reduction in healing time and pain

A

acyclovir ointment cream
systemic acyclovir
valacyclovir
famiciclovir

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23
Q

for patients with herpes labialis whose recurrences appear to be associataed with dental produces, a remigen of:

A

2 g of valacyclovir taken 2x on day of producer and 1 g taken 2x day following

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24
Q

what is 60% of the US population and starts around 1-20 years old?
frequency varies.

A

apthous ulcers
(canker sores)
lesions

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25
prodromal tingling or burning sensation- usually 1-2 days before ulcers appears
apthous ulcers (canker sores)
26
____ days before apthous ulcers appear, ____ days pain, ____ days healed
1-2 days before 3 days pain 7 days healed
27
if mild disease, treatment for canker sores aka apthous ulcers is
topical corticosteroids
28
no single triggering agent is responsible, the mucosal destruction appears to represent T-cell mediated immunologic reaction for
aphthous lesions
29
what tends to occur along family lines? when both parents have history, 90% children will develop
aphthous lesions
30
3 clinical varations of aphthous lesions
minor major herpetiform
31
minor major or herpetiform aphthous ulcerations. pts. experience fewest recurences and shortest duration
minor
32
minor major or herpetiform aphthous ulcerations. ulcers exclusively on nonkeratinized mucosa, preceded by erythematous macule (associated with prodromal symptoms of burning itching or stinging)
minor
33
wont scare
minor
34
minor major or herpetiform aphthous ulcerations. ulcer measures 3-10mm oval heal withing scatting 7-14 days
minor
35
minor major or herpetiform aphthous ulcerations. 1-5 lesions pain often out of proportion for size
minor
36
what oral areas affected most by minor aphthous ulcers
buccal and labial mucosa followed by ventral surface of tongue
37
minor aphthous recurrence rate:
high variable, ranging from 1 ulcer every few years to 2 episodes a month
38
minor major or herpetiform aphthous ulcerations. larger than minor 1-3 cm
major
39
minor major or herpetiform aphthous ulcerations. have longest duration per episode
major
40
ulcers deep and can take 2-6 weeks toheal
major
41
lesions very from 1-10
major
42
onset is after puberty
major
43
minor major or herpetiform aphthous ulcerations. greatest number of lesions and most frequent recurrence
herpetiform
44
lesions small 1-3 mm
herpetiform
45
many as 100 ulcers present in single occurrence
herpetiform
46
lesions bear superifical resemblance to primary HSV due to
herpetiform due to small size and how many
47
common for individual lesions to coalesce into larger irregular ulcerations
herpetiform
48
heals within 7-10 days
herpetiform
49
many patients affect almost constantly for periods as long as 3 years
herpetiform
50
any oral mucosal involved
herpetiform
51
minor major or herpetiform aphthous ulcerations. female predominance
herpetiform
52
onset is adulthood
herpetiform
53
minor major or herpetiform aphthous ulcerations. <1cm and shallow
minor
54
minor major or herpetiform aphthous ulcerations. >1 cm and many scar when heal
major
55
minor major or herpetiform aphthous ulcerations. more numerous and vesicular
herpetiform
56
aphthous ulcers treatment. symptomatic:
1. viscous benzocaine 2. orajel, anbesol
57
aphthous ulcers treatment. local anti-inflammatory:
kenalog in orabase paste 2-4x day
58
aphthous ulcers treatment for sealing agent
ameseal
59
canker sores (aphthous ulcers) only fda approved tx paste=barrier apply 2-4x day must start early in prodromal stage!!!
aphthasol
60