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Transcripción

Symptoms

The gingiva appears red with a tendency to bleed

Patient presents with soreness of the oral cavity, which interferes with eating, drinking and oral hygiene

Histopathology

Epithelium

1- Balooning degeneration (acantholysis, nuclear clearing and enlargment)

2-Infected cells fuse to form multinucleated cells

3- Intercellular edema leads to formation of vesicles

4-Intranuclear inclusion bodies

The ruptured vesicles are focal sites of pain

Connective tissue

1- Acute Inflammatory infiltrate

2- Engorged blood vessels

After 24 hrs these vesicles rupture forming ulcers with red, elevated, halolike margins and yellowish white base

Diagnosis

1-Patient's history and clinical evaluation

2-HSV isolation by cell culture

3-Tzank smear

Definition

An infection of the oral cavity caused by herpes simplex virus type 1 (HSV-1)

References

Signs & Symptoms

Treatment

1- Carranza's Clinical periodontology for south asia. 11th edition

2- Cawson's essential of oral pathology and oral medicine

SIGNS

Antiherpetic drug Acyclovir

Soft diet

Increased fluid intake

Bed rest

It is initially characterized by the presence of discrete, spherical, gray vesicles on the gingiva, mucosa and the tongue

Differential diagnosis

1-Aphthous stomatitis

2-Necrotizing ulcerative gingivitis

3-Erythema multiforme

4-Stevens-jhonson syndrome

THANK YOU

Acute Herpetic Gingivostomatitis

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