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.