Which conditions should be included in the differential diagnosis of coxsackievirus herpangina?

Updated: Aug 24, 2018
  • Author: Martha L Muller, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Herpangina

  • Other viral causes of pharyngitis and bacterial tonsillitis: These do not produce vesicular lesions.

  • Primary herpetic gingivostomatitis: Gingivitis is prominent, and systemic toxicity and cervical lymphadenitis are present; scrapings of lesions do not reveal giant cells or intranuclear inclusions.

  • HFMD: These lesions also occur on extremities.

  • Aphthous stomatitis: Lesions tend to be larger and occur in older children and adults.


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