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HERPANGINA
HERPANGINAโICD-10: B08.5
โข Etiologic Agent. Coxsackievirus A1 to 10; coxsackie B1 to 5; echoviruses; EV71.
โข Demography. It usually affects children <5 years, prevalent in late summer and early fall in temperate climates.
โข Clinical Manifestation. Sudden onset of fever, malaise, headache, anorexia, dysphagia, and sore throat.
โข Enanthem. One- to 2-mm gray-white papules/vesicles that evolve to ulcers with red halos, and diffuse pharyngeal hyperemia (Fig. 27-26). Distributed on the anterior tonsillar pillars, soft palate, uvula, and tonsils. Usually lasts 4 to 6 days, and its course is self-limited.
FIGURE 27-26 โข HerpanginaโMultiple, small vesicles and erosions with erythematous halos on the soft palate; some taste buds on the posterior tongue are inflamed and prominent.