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Description

Herpangina is a clinical syndrome that may be caused by several viruses. It tends to affect young children most often and can occur in epidemics.


 

Duration of symptoms: usually about 1 week

 

Common symptoms:

(1) fever

(2) sore throat

(3) pain on swallowing

 

Common findings:

(1) pharyngitis with mucosal hyperemia

(2) small vesicles (1 to 4 mm in diameter that may ulcerate) on the pharynx, tonsillar pillars, uvula and soft palate

 

Herpangina differs from hand-foot-mouth disease in that the lesions are limited to the pharynx, without lesions on the hands, feet or buttocks

 

Common enteroviruses associated with herpangina:

(1) Coxsackie A:

(2) Coxsackie B

(3) Enterovirus (EV): EV71

(4) echovirus

 

Herpangina may also be caused by adenovirus and Herpes simplex virus (HSV).

 


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