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Oral-facial Herpes

Acute Gingivostomatitis

Acute gingivostomatitis is the commonest manifestation of primary herpetic infection.

The patient experiences pain and bleeding of the gums. 1 - 8 mm  ulcers with necrotic bases are present. Neck glands are commonly enlarged accompanied by fever.

Usually a self limiting disease which lasts around 13 days.

Herpes labialis (cold sore)

Following primary infection, 45% of orally infected individuals will experience reactivation. The actual frequency of recurrences varies widely between individuals.

Herpes labialis (cold sore) is a recurrence of oral HSV.

A prodrome of tingling, warmth or itching at the site usually heralds the recurrence. About 12 hours later, red­ness appears followed by papules and then vesicles.

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