Child health · UKMLA & AKT
Primary herpetic gingivostomatitis
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise primary herpetic gingivostomatitis — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- HSV-1 - responsible for the vast majority of primary oral infections and cold sores (herpes labialis)
- HSV-2 - primarily causes genital herpes; can occasionally produce oral disease but much less common
- Transmission via direct contact with infectious secretions (saliva, vesicle fluid) or asymptomatic viral shedding
HSV-1 establishes lifelong latency in the trigeminal ganglion after primary infection - all recurrent cold sores arise from reactivation of this latent virus.
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