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Most common
cause of severe oral ulcerations in children over
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the age of 6 mos
(peaks at 14 mos).
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Caused by Herpes
Simplex Type 1.
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Incubation period
of 3-5 days with a prodromal 48 hour h/o
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irritability,
lymphadenopathy, pyrexia and malaise.
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Stomatitis seen,
with gingival tissues become red and
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edematous.
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Vesicles seen any
where on oral mucosa and rapidly break
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down to form
very painful ulcers. Solitary ulcers (<3mm) seen
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and some times
larger ulcers with irregular margins are seen
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when there is
coalescence of individual lesions.
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Self limiting
and ulcers heal spontaneously without scarring
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within 10-14
days.
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