Pathology · single question

A child seen the day before now has fever and multiple oral lesions. Most likely diagnosis:

  1. Herpetic gingivostomatitis
  2. Aphthous ulcers
  3. Hand-foot-and-mouth disease
  4. Herpangina
Show answer and explanation

Correct answer: A. Herpetic gingivostomatitis

  • A. Correct. Primary herpetic gingivostomatitis presents in young children with fever, malaise, and widespread painful oral vesicles/ulcers with marked gingivitis.
  • B. Recurrent aphthae are not associated with fever or this acute febrile presentation.
  • C. Hand-foot-and-mouth shows oral lesions PLUS hand/foot vesicles.
  • D. Herpangina affects the posterior oropharynx (soft palate/tonsillar area) specifically.

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