Question 211 · LDEK · Periodontal and oral mucosal diseases in children

Indicate the true statement concerning primary herpetic gingivostomatitis:

  1. A. characteristic eruptions are intraepithelial bladders of fairly large sizes, which can be located on the palatal arches or palate, after ruptures they leave erosions with an inflammatory edge.
  2. B. oral cavity lesions are pharyngitis, a unilateral swelling of the lymph nodes around the mandibular angle and an enlargement of the cervical lymph nodes, which are not very painful and flexible.
  3. C. most often occurs in young children, follicles on the affected mucosa rupture and leave erosions with a tendency to merge, gingivitis occurs, the tongue is covered with a gray coating with vesicles and erosions at the edges; duration of the illness is 10-14 days.
  4. D. on the reddened mucosa, punctate blue-white lesions are formed, surrounded by a halo of the reddened mucosa - so-called Koplik’s spots that are located on the mucous membrane of the cheeks behind the molars.
  5. E. mucosa of the entire oral cavity, especially the soft palate and palatal arches, is red, with the ulceration areas covered with a white-gray, thick, pseudomembranous coating, the tongue is usually coated.
Hint

Think of the classic picture in a toddler: many small vesicles that rupture and merge, acute gingivitis and a self-limiting course.

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