herpetic stomatitis
Introduction
Introduction to herpetic stomatitis Herpetic stomatitis is an oral mucosal infectious disease caused by herpes simplex virus. It is characterized by the appearance of clustered small blisters, which is self-limiting and easy to relapse. basic knowledge The proportion of sickness: 0.1% - 0.25% Susceptible people: multiple children Mode of infection: fecal-oral transmission, respiratory transmission Complications: high fever in children
Cause
Causes of herpetic stomatitis
Herpes simplex virus infection is mainly transmitted by direct contact with droplets, saliva, and herpes. It can also be indirectly transmitted through utensils and clothing. The infection is mainly through the respiratory tract, mouth, nose, conjunctiva, genital mucosa or damaged skin. human body.
Prevention
Herpes stomatitis prevention
1. Pay attention to oral hygiene, especially when there is acute infection.
2, pay attention to the diet and utensils, nipple cleaning and disinfection, reduce diarrhea.
3, preventive taking Banlangen during the epidemic period of herpetic stomatitis, once a day, and even served for 3 days.
Complication
Herpetic stomatitis complications Complications
Clusters of vesicles appear in the oral mucosa of each part. After blister rupture, large areas of erosion, superficial ulcers, and infection can be formed.
Symptom
Herpetic stomatitis symptoms Common symptoms Long blisters with persistent blisters on the lips
Primary herpetic stomatitis:
(1) More common in children under 6 years of age, with a maximum of 6 months to 2 years.
(2) The prodromal symptoms are heavier, and may have symptoms such as fever, headache, fatigue, muscle pain, and swollen lymph nodes.
(3) Any part of the oral mucosa can be affected, which is most obvious in the upper jaw and the gingival margin of the adjacent molar (pre-adult molars), mainly in the form of clusters of small blisters, which are easy to break and form a large area of erosion surface.
(4) The course of disease is about 7 to 10 days, and there is self-limiting.
Recurrent herpetic stomatitis:
(1) Common in adults, the course of disease is about 1 to 2 weeks.
(2) Inducements include infection, fatigue, sun exposure, local irritation, emotional stress, gastrointestinal dysfunction, and environmental changes.
(3) The lesion site is generally in the lips or near the lips, mainly in the process of burning - blistering - erosion - crusting.
(4) There is no scar after the lesion is healed, but there may be pigmentation.
Examine
Herpes stomatitis check
1. Herpes virus check and specific herpes virus check.
2, blood routine examination.
Diagnosis
Diagnosis and diagnosis of herpetic stomatitis
diagnosis
In most cases, a diagnosis can be made based on clinical performance. Laboratory tests are only used for final diagnosis. Common methods include non-specific herpes virus tests and specific herpes virus tests.
Differential diagnosis
1. Stomatitis type aphthous ulcer: a single small ulcer distributed in scattered disease. The course of the disease is repeated and does not pass through the blistering stage. The ulcer is mainly distributed in the mucosa with poor keratinization in the oral cavity. It does not cause gingivitis, and children are rare and have no skin damage.
2, trigeminal herpes zoster: caused by varicella-zoster virus, blister distributed along the trigeminal nerve into a band-like arrangement, no more than the midline, severe pain, generally no longer relapse.
3, hand, foot and mouth disease: caused by Coxsackie A16 virus, in the oral mucosa, palms, soles of the feet appear scattered blisters, papules, the number varies, the oral blisters are easy to break, forming ulcers.
4, erythema multiforme: a group of skin and mucous membranes involving the target shape or iris-like erythema as a typical lesion of acute inflammatory skin mucosal disease, oral mucosa congestion and edema, sometimes visible erythema and blisters, blister easily broken, leaving erosion On the surface, there is a large amount of exudate on the surface to form a thick pseudomembrane.
