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Recurrent oral erosions are most often secondary to herpes simplex virus or idiopathic aphthous stomatitis. A thorough review of systems and complete skin exam are the best tools to assure diagnostic accuracy, particularly in light of the fact that... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Stomatitis refers to inflammation of the oral mucous membranes. It represents a heterogeneous group of underlying conditions, many of which are infectious in etiology. A careful history and physical examination are often sufficient to effectively narrow the differential diagnosis. In... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Oral ulcers may represent a local infection, an immune reaction, or a general medical condition. The most common cause is idiopathic aphthous ulcers, followed by oral infections. Occasionally a general medical condition may be discovered in the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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...Erythroderma
Dilated or congested blood vessels produce red skin, or erythema, the most common sign of skin inflammation or irritation. Erythema may be localized or generalized and may occur suddenly or gradually. Skin color can range from... Pictures
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... Infections
Viral [especially herpes simplex virus (HSV), Epstein-Barr, Coxsackie virus, echovirus, influenza]
Bacterial (e.g., Yersinia, Francisella tularensis)
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... Infection
Bacterial
Streptococci
Yersinia
Cat
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... Genital herpes is an acute inflammatory disease of the genitalia. The prognosis varies, depending on the patient’s age, the strength of his immune defenses, and the infection site. Primary genital herpes is usually self-limiting but may cause painful local or systemic... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Herpes simplex, a recurrent viral infection, is caused by Herpesvirus hominis (HVH), a widespread infectious agent. Herpes type I, which is transmitted by oral and respiratory secretions, affects the skin and mucous membranes,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Stomatitis is an inflammation of the oral mucosa that may extend to the buccal mucosa, lips, and palate. It’s a common infection that may occur alone or as part of a systemic disease. There are two main types: acute herpetic stomatitis and aphthous... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Pictures
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... Toxic epidermal necrolysis (TEN) is a rare, severe skin disorder that causes epidermal erythema, superficial necrosis, and skin erosions. Mortality is high (30%), especially among debilitated and elderly patients. Reepithelialization is slow, and residual... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Staphylococcal scalded skin syndrome (SSSS), also known as Ritter’s disease or Ritter-Lyell syndrome, is marked by epidermal erythema, peeling, and necrosis that give the skin a scalded appearance. This severe skin disorder follows a consistent pattern of... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Dilated or congested blood vessels produce red skin, or erythema, the most common sign of skin inflammation or irritation. Erythema may be localized or generalized and may occur suddenly or gradually. Skin color can range from bright red in... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... John G. Spangler
Stomatitis represents a broad category of oral mucosal infections and inflammatory lesions that are more common in the adult population than tension headaches, phlebitis, or arthralgias. In one large survey, the 30 most... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Melissa B. Black
Approach Erythema multiforme (EM) is a clinical syndrome, not a diagnosis. It is thought to be a hypersensitivity reaction to an antigenic stimulus, commonly a drug or infection. It occurs in males more often than in... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Ulceration
❑ Aphthous ulcers
❑ Angular cheilitis
❑ Herpes simplex
❑ ... Clinical Findings
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... Differential Overview
Figurate
❑ Tinea corporis
❑ Urticaria
❑ Erysipelas
❑ Erythema migrans ... Diagnostic Approach ... Clinical Findings ... Pictures
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... A recurrent viral infection, herpes simplex is subclinical in about 85% of cases. The others produce localized lesions and systemic reactions. After the first infection, a patient is a carrier susceptible to recurrent infections, which may be... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... A common infection, stomatitis — inflammation of the oral mucosa — may extend to the buccal mucosa, lips, and palate. It may occur alone or as part of a systemic disease.
There are two main types: acute herpetic stomatitis and aphthous stomatitis.... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Pictures
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... A severe skin disorder, staphylococcal scalded skin syndrome (SSSS) is marked by epidermal erythema, peeling, and superficial necrosis that give the skin a scalded appearance. SSSS is most prevalent in infants ages 1 to 3 months but may develop in children; it’s... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dilated or congested blood vessels produce red skin, or erythema, the most common sign of skin inflammation or irritation. Erythema may be localized or generalized and may occur suddenly or gradually. Skin color can range from bright red in patients with acute conditions to... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Dilated or congested blood vessels produce red skin, or erythema, the most common sign of skin inflammation or irritation. Also known as erythroderma, erythema may be localized or generalized and may occur suddenly or gradually. Skin color can range from bright red in... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Dilated or congested blood vessels produce red skin, or erythema, the most common sign of skin inflammation or irritation. Erythema may be localized or generalized and may occur suddenly or gradually. Skin color can range from bright red in patients with acute conditions to pale... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Author:
Mindy Dickerman, MD
What to Do - Interpret the Data, Take Action
Obtaining digoxin levels in specific circumstances can be lifesaving.
Digoxin is the most widely used cardiac glycoside. These... Suggested Readings
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... Author:
Heidi Herrera, MD
What to Do - Interpret the Data
Although selective serotonin reuptake inhibitors are more popular,
TCAs are still commonly prescribed in the treatment of enuresis, obsessive-
compulsive disorder, and attention... Suggested Readings
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... Author:
Madan Dharmar, MD
What to Do - Interpret the Data
EM represents a syndrome of inflammatory skin eruptions that can manifest as a mild self-limiting form or as a life-threatening condition requiring
aggressive lifesaving and critical care... Suggested Readings
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... Albert C. Yan, MD Erythema Multiforme - BASICS Erythema Multiforme - description An acute self-limited cutaneous eruption with many different or multiform lesions: Characterized ... Erythema Multiforme - DIAGNOSIS ... Erythema Multiforme - TREATMENT ... Erythema Multiforme - FOLLOW UP ... Erythema Multiforme - bibliography ... Erythema Multiforme - CODES
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... Paul S. Matz, MD Stevens Johnson Syndrome - BASICS Stevens Johnson Syndrome - description Stevens-Johnson Syndrome (SJS) is a severe hypersensitivity reaction, characterized by diffuse bullous lesions, ... Stevens Johnson Syndrome - DIAGNOSIS ... Stevens Johnson Syndrome - TREATMENT ... Stevens Johnson Syndrome - FOLLOW UP ... Stevens Johnson Syndrome - bibliography ... Stevens Johnson Syndrome - CODES ... Stevens Johnson Syndrome - FAQ
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