ヘルペス性歯肉口内炎
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/03/06 20:06:18」(JST)
[Wiki en表示]
Gingivostomatitis |
|
Classification and external resources |
Specialty |
infectious disease |
ICD-10 |
A69.1, B00.2, |
ICD-9-CM |
054.2, 523.10 |
MedlinePlus |
001052 |
[edit on Wikidata]
|
Gingivostomatitis (also known as primary herpetic gingivostomatitis or orolabial herpes) is a combination of gingivitis and stomatitis, or an inflammation of the oral mucosa and gingiva.[1] Herpetic gingivostomatitis is often the initial presentation during the first ("primary") herpes simplex infection. It is of greater severity than herpes labialis (cold sores) which is often the subsequent presentations. Primary herpetic gingivostomatitis is the most common viral infection of the mouth.[2]
Primary herpetic gingivostomatitis (PHGS) represents the clinically apparent pattern of primary herpes simplex virus (HSV) infection, since the vast majority of other primary infections are symptomless. PHGS is caused predominantly by HSV-1 and affects mainly children. Prodromal symptoms, such as fever, anorexia, irritability, malaise and headache, may occur in advance of disease. The disease presents as numerous pin-head vesicles, which rupture rapidly to form painful irregular ulcerations covered by yellow–grey membranes. Sub-mandibular lymphadenitis, halitosis and refusal to drink are usual concomitant findings.[3]
Contents
- 1 Symptoms
- 1.1 Differential Diagnosis
- 2 Treatment
- 3 See also
- 4 References
- 5 External links
Symptoms
Herpes lesions on the gingiva.
[4]
The symptoms can be mild or severe and may include:
- Not able to chew or swallow
- Sores on the inside of the cheeks or gums
- Fever
- General discomfort, uneasiness, or ill feeling
- Very sore mouth with no desire to eat
- Halitosis (bad breath)
Differential Diagnosis
Gingivostomatitis symptoms in infants may wrongly be dismissed as teething. "Coincidentally, primary tooth eruption begins at about the time that infants are losing maternal antibody protection against the herpes virus. Also, reports on teething difficulties have recorded symptoms which are remarkably consistent with primary oral herpetic infection such as fever, irritability, sleeplessness, and difficulty with eating."[5] "Younger infants with higher residual levels of antibodies would experience milder infections and these would be more likely to go unrecognized or be dismissed as teething difficulty."[6]
Gingivostomatitis must also be differentiated from herpangina, another disease that also commonly causes ulcers in the oral cavity of children, but is caused by the Coxsackie A virus rather than a herpes virus.[7] In herpangina, ulcers are usually isolated to the soft palate and anterior pillar of the mouth.[7] In herpetic gingivostomatitis, lesions can be found in these locations, but they are almost always accompanied by ulcerations on the gums, lips, tongue or buccal mucosa and/or by hyperemia, hypertrophy or hemorrhage of the gums.[7]
Treatment
Treatment includes fluid intake, good oral hygiene and gentle debridement of the mouth. In healthy individuals the lesions heal spontaneously in 7–14 days without scarring.
See also
- Acute necrotizing ulcerative gingivitis
References
- ^ "Gingivostomatitis" at Dorland's Medical Dictionary
- ^ "Oral Complications of Cancer and Its Management". By Andrew Davies, Joel Epstein. Oxford University Press, 2010. p195
- ^ "Herpes simplex virus infection, with particular reference to the progression and complications of primary herpetic gingivostomatitis", A. Kolokotronis, S. Doumas, Clinical Microbiology and Infection, Volume 12, Issue 3, pages 202–211, March 2006. http://onlinelibrary.wiley.com/doi/10.1111/j.1469-0691.2005.01336.x/full
- ^ Dorfman, J. The Center for Special Dentistry.
- ^ "Herpetic gingivostomatitis and teething difficulty in infants". David L. King, William Steinhauer, Franklin Garcfa-Godoy, Cassandra J. Elkins. PEDIATRIC DENTISTRY MARCH/APRIL, 1992 VOLUME 14, NUMBER 2. p83
- ^ "Herpetic gingivostomatitis and teething difficulty in infants". David L. King, William Steinhauer, Franklin Garcfa-Godoy, Cassandra J. Elkins. PEDIATRIC DENTISTRY MARCH/APRIL, 1992 VOLUME 14, NUMBER 2. p84
- ^ a b c PARROTT, RH; WOLF, SI; NUDELMAN, J; NAIDEN, E; HUEBNER, RJ; RICE, EC; McCULLOUGH, NB (August 1954). "Clinical and laboratory differentiation between herpangina and infectious (herpetic) gingivostomatitis.". Pediatrics. 14 (2): 122–9. PMID 13185685.
External links
- Underlying Causes at wrongdiagnosis.com
- CDC Case Definition: Mercury (Elemental)
Infectious diseases – viral systemic diseases (A80–B34, 042–079)
|
|
Oncovirus |
- DNA virus
- HBV
- Hepatocellular carcinoma
- HPV
- Cervical cancer
- Anal cancer
- Penile cancer
- Vulvar cancer
- Vaginal cancer
- Oropharyngeal cancer
- KSHV
- Kaposi's sarcoma
- EBV
- Nasopharynx cancer
- Burkitt's lymphoma
- Hodgkin's lymphoma
- Follicular dendritic cell sarcoma
- Extranodal NK/T-cell lymphoma, nasal type
- MCPyV
- Merkel-cell carcinoma
- RNA virus
- HCV
- Hepatocellular carcinoma
- Splenic marginal zone lymphoma
- HTLV-I
- Adult T-cell leukemia/lymphoma
|
|
Immune disorders |
|
|
Central
nervous system |
Encephalitis/
meningitis |
- DNA virus
- JCV
- Progressive multifocal leukoencephalopathy
- RNA virus
- MeV
- Subacute sclerosing panencephalitis
- LCV
- Lymphocytic choriomeningitis
- Arbovirus encephalitis
- Orthomyxoviridae (probable)
- Encephalitis lethargica
- RV
- Rabies
- Chandipura virus
- Herpesviral meningitis
- Ramsay Hunt syndrome type 2
|
|
Myelitis |
- Poliovirus
- Poliomyelitis
- Post-polio syndrome
- HTLV-I
- Tropical spastic paraparesis
|
|
Eye |
- Cytomegalovirus
- Cytomegalovirus retinitis
- HSV
|
|
|
Cardiovascular |
|
|
Respiratory system/
acute viral nasopharyngitis/
viral pneumonia |
DNA virus |
- Epstein–Barr virus
- EBV infection/Infectious mononucleosis
- Cytomegalovirus
|
|
RNA virus |
- IV: SARS coronavirus
- Severe acute respiratory syndrome
- V: Orthomyxoviridae: Influenzavirus A/B/C
- Influenza/Avian influenza
- V, Paramyxoviridae: Human parainfluenza viruses
- RSV
- hMPV
|
|
|
Human digestive system |
Pharynx/Esophagus |
- MuV
- Cytomegalovirus
- Cytomegalovirus esophagitis
|
|
Gastroenteritis/
diarrhea |
- DNA virus
- Adenovirus
- Adenovirus infection
- RNA virus
- Rotavirus
- Norovirus
- Astrovirus
- Coronavirus
|
|
Hepatitis |
- DNA virus
- HBV (B)
- RNA virus
- CBV
- HAV (A)
- HCV (C)
- HDV (D)
- HEV (E)
- HGV (G)
|
|
Pancreatitis |
|
|
|
Urogenital |
|
Oral and maxillofacial pathology (K00–K06, K11–K14, 520–525, 527–529)
|
|
Lips
|
|
- Cheilitis
- Actinic
- Angular
- Plasma cell
- Cleft lip
- Congenital lip pit
- Eclabium
- Herpes labialis
- Macrocheilia
- Microcheilia
- Nasolabial cyst
- Sun poisoning
- Trumpeter's wart
|
|
|
Tongue
|
|
- Ankyloglossia
- Black hairy tongue
- Caviar tongue
- Crenated tongue
- Cunnilingus tongue
- Fissured tongue
- Foliate papillitis
- Glossitis
- Geographic tongue
- Median rhomboid glossitis
- Transient lingual papillitis
- Glossoptosis
- Hypoglossia
- Lingual thyroid
- Macroglossia
- Microglossia
- Rhabdomyoma
|
|
|
Palate
|
|
- Bednar's aphthae
- Cleft palate
- High-arched palate
- Palatal cysts of the newborn
- Inflammatory papillary hyperplasia
- Stomatitis nicotina
- Torus palatinus
|
|
|
Oral mucosa - Lining of mouth
|
|
- Amalgam tattoo
- Angina bullosa haemorrhagica
- Behçet syndrome
- Bohn's nodules
- Burning mouth syndrome
- Candidiasis
- Condyloma acuminatum
- Darier's disease
- Epulis fissuratum
- Erythema multiforme
- Erythroplakia
- Fibroma
- Focal epithelial hyperplasia
- Fordyce spots
- Hairy leukoplakia
- Hand, foot and mouth disease
- Hereditary benign intraepithelial dyskeratosis
- Herpangina
- Herpes zoster
- Intraoral dental sinus
- Leukoedema
- Leukoplakia
- Lichen planus
- Linea alba
- Lupus erythematosus
- Melanocytic nevus
- Melanocytic oral lesion
- Molluscum contagiosum
- Morsicatio buccarum
- Oral cancer
- Benign: Squamous cell papilloma
- Keratoacanthoma
- Malignant: Adenosquamous carcinoma
- Basaloid squamous carcinoma
- Mucosal melanoma
- Spindle cell carcinoma
- Squamous cell carcinoma
- Verrucous carcinoma
- Oral florid papillomatosis
- Oral melanosis
- Pemphigoid
- Pemphigus
- Plasmoacanthoma
- Stomatitis
- Aphthous
- Denture-related
- Herpetic
- Smokeless tobacco keratosis
- Submucous fibrosis
- Ulceration
- Verruca vulgaris
- Verruciform xanthoma
- White sponge nevus
|
|
|
Teeth (pulp, dentin, enamel)
|
|
- Amelogenesis imperfecta
- Ankylosis
- Anodontia
- Caries
- Concrescence
- Failure of eruption of teeth
- Dens evaginatus
- Dentin dysplasia
- Dentin hypersensitivity
- Dentinogenesis imperfecta
- Dilaceration
- Discoloration
- Ectopic enamel
- Enamel hypocalcification
- Enamel hypoplasia
- Enamel pearl
- Fluorosis
- Fusion
- Gemination
- Hyperdontia
- Hypodontia
- Maxillary lateral incisor agenesis
- Impaction
- Macrodontia
- Meth mouth
- Microdontia
- Odontogenic tumors
- Keratocystic odontogenic tumour
- Odontoma
- Open contact
- Premature eruption
- Pulp calcification
- Pulp canal obliteration
- Pulp necrosis
- Pulp polyp
- Pulpitis
- Regional odontodysplasia
- Resorption
- Shovel-shaped incisors
- Supernumerary root
- Taurodontism
- Trauma
- Avulsion
- Cracked tooth syndrome
- Vertical root fracture
- Occlusal
- Tooth loss
- Tooth wear
- Abrasion
- Abfraction
- Acid erosion
- Attrition
|
|
|
Periodontium (gingiva, periodontal ligament, cementum, alveolus) - Gums and tooth-supporting structures
|
|
- Cementicle
- Cementoblastoma
- Cementoma
- Eruption cyst
- Epulis
- Pyogenic granuloma
- Congenital epulis
- Gingival enlargement
- Gingival cyst of the adult
- Gingival cyst of the newborn
- Gingivitis
- Desquamative
- Granulomatous
- Plasma cell
- Hereditary gingival fibromatosis
- Hypercementosis
- Hypocementosis
- Linear gingival erythema
- Necrotizing periodontal diseases
- Acute necrotizing ulcerative gingivitis
- Pericoronitis
- Peri-implantitis
- Periodontal abscess
- Periodontal trauma
- Periodontitis
- Aggressive
- As a manifestation of systemic disease
- Chronic
- Perio-endo lesion
- Teething
|
|
|
Periapaical, mandibular and maxillary hard tissues - Bones of jaws
|
|
- Agnathia
- Alveolar osteitis
- Buccal exostosis
- Cherubism
- Idiopathic osteosclerosis
- Mandibular fracture
- Microgenia
- Micrognathia
- Intraosseous cysts
- Odontogenic: periapical
- Dentigerous
- Buccal bifurcation
- Lateral periodontal
- Globulomaxillary
- Calcifying odontogenic
- Glandular odontogenic
- Non-odontogenic: Nasopalatine duct
- Median mandibular
- Median palatal
- Traumatic bone
- Osteoma
- Osteomyelitis
- Osteonecrosis
- Bisphosphonate-associated
- Neuralgia-inducing cavitational osteonecrosis
- Osteoradionecrosis
- Osteoporotic bone marrow defect
- Paget's disease of bone
- Periapical abscess
- Periapical periodontitis
- Stafne defect
- Torus mandibularis
|
|
|
Temporomandibular joints, muscles of mastication and malocclusions - Jaw joints, chewing muscles and bite abnormalities
|
|
- Bruxism
- Condylar resorption
- Mandibular dislocation
- Malocclusion
- Crossbite
- Open bite
- Overbite
- Overeruption
- Overjet
- Prognathia
- Retrognathia
- Scissor bite
- Maxillary hypoplasia
- Temporomandibular joint dysfunction
|
|
|
Salivary glands
|
|
- Benign lymphoepithelial lesion
- Ectopic salivary gland tissue
- Frey's syndrome
- HIV salivary gland disease
- Necrotizing sialometaplasia
- Mucocele
- Pneumoparotitis
- Salivary duct stricture
- Salivary gland aplasia
- Salivary gland atresia
- Salivary gland diverticulum
- Salivary gland fistula
- Salivary gland hyperplasia
- Salivary gland hypoplasia
- Salivary gland neoplasms
- Benign: Basal cell adenoma
- Canalicular adenoma
- Ductal papilloma
- Monomorphic adenoma
- Myoepithelioma
- Oncocytoma
- Papillary cystadenoma lymphomatosum
- Pleomorphic adenoma
- Sebaceous adenoma
- Malignant: Acinic cell carcinoma
- Adenocarcinoma
- Adenoid cystic carcinoma
- Carcinoma ex pleomorphic adenoma
- Lymphoma
- Mucoepidermoid carcinoma
- Sclerosing polycystic adenosis
- Sialadenitis
- Parotitis
- Chronic sclerosing sialadenitis
- Sialectasis
- Sialocele
- Sialodochitis
- Sialosis
- Sialolithiasis
- Sjögren's syndrome
|
|
|
Orofacial soft tissues - Soft tissues around the mouth
|
|
- Actinomycosis
- Angioedema
- Basal cell carcinoma
- Cutaneous sinus of dental origin
- Cystic hygroma
- Gnathophyma
- Ludwig's angina
- Macrostomia
- Melkersson–Rosenthal syndrome
- Microstomia
- Noma
- Oral Crohn's disease
- Orofacial granulomatosis
- Perioral dermatitis
- Pyostomatitis vegetans
|
|
|
Other
|
|
- Eagle syndrome
- Hemifacial hypertrophy
- Facial hemiatrophy
- Oral manifestations of systemic disease
|
|
Inflammation
|
|
Acute |
Plasma derived mediators |
- Bradykinin
- complement
- coagulation
- Factor XII
- Plasmin
- Thrombin
|
|
Cell derived mediators |
preformed: |
- Lysosome granules
- biogenic amines
|
|
synthesized on demand: |
- cytokines
- eicosanoids
- Leukotriene B4
- Prostaglandins
- Nitric oxide
- Kinins
|
|
|
|
Chronic |
- Macrophage
- Epithelioid cell
- Giant cell
- Granuloma
|
|
Processes |
Traditional: |
- Rubor
- Calor
- Tumor
- Dolor
- Functio laesa
|
|
Modern: |
- Acute-phase reaction/Fever
- Vasodilation
- Increased vascular permeability
- Exudate
- Leukocyte extravasation
- Chemotaxis
|
|
|
Specific locations |
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Severe acute disseminated encephalomyelitis with clinical findings of transverse myelitis after herpes simplex virus infection.
- Sarioglu B1, Kose SS2, Saritas S3, Kose E3, Kanik A3, Helvaci M3.
- Journal of child neurology.J Child Neurol.2014 Nov;29(11):1519-23. doi: 10.1177/0883073813513334. Epub 2014 Feb 13.
- BACKGROUND: ADEM is a central nervous disease that leads to myelin damage as a result of autoimmune response that develops after infections or vaccination. Herpes Simplex Virus (HSV) infection rarely leads to ADEM.PATIENT: 25-month-old male due to urinary retention, paradoxical respiration and muscl
- PMID 24525997
- Herpetic gingivostomatitis.
- Podder I1, Das A.
- Indian pediatrics.Indian Pediatr.2014 Sep;51(9):764.
- PMID 25228626
- X-linked adrenal hypoplasia congenita: a case report and ethical dilemma.
- Ismail HM1, Rincon M2.
- Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists.Endocr Pract.2014 Jul;20(7):e126-9. doi: 10.4158/EP14033.CR.
- OBJECTIVE: Our objective is to present the first case report of X-linked adrenal hypoplasia congenita in a child conceived by a donated egg and which also presented atypically, with initial mineralocorticoid deficiency.METHODS: Case report with literature review.RESULTS: A late preterm fraternal twi
- PMID 24641931
Japanese Journal
- 難治性潰瘍性口内炎が初発症状と考えられた急性型成人T細胞白血病の1例
- 松井 竜太郎,山口 孝二郎,田畑 雅士,副島 健太郎,向井 洋,杉原 一正
- 日本口腔外科学会雑誌 50(4), 251-254, 2004-04-20
- … The clinical diagnosis was herpetic gingivostomatitis.<BR>After admission, the patient received systemic antiviral agents (aciclovir), and corticosteroid ointment was applied to the oral lesions. …
- NAID 10018620229
- 日本歯周病学会会誌 43(3), 319-322, 2001
- 1. 歯肉疾患<BR>A. プラーク起因性歯肉疾患<BR>1. プラーク単独性歯肉炎<BR>a. その他の局所因子を含まない<BR>b. その他の局所因子を含む (皿A参照)<BR>2. 全身因子関連歯肉疾患<BR>a. 内分泌関連<BR>1) 思春期性歯肉炎<BR>2) 月経性歯肉炎<BR> …
- NAID 130001471673
Related Pictures
★リンクテーブル★
[★]
- 英
- acute herpes simplex gingivostomatitis
- 関
- ヘルペス性口内炎 herpetic stomatitis、ヘルペス性歯肉口内炎 herpetic gingivostomatitis、急性ヘルペス性歯肉口内炎 acute herpetic gingivostomatitis
[★]
- 英
- herpetic gingivostomatitis
- 関
- 疱疹性歯肉口内炎、ヘルペス性口内炎、口腔単純ヘルペス
[★]
- 英
- herpetic gingivostomatitis
- ラ
- gingivostomatitis herpetica
- 関
- ヘルペス性歯肉口内炎、口内炎
[★]
口腔単純ヘルペス
- 関
- herpetic gingivostomatitis、herpetic stomatitis