Oral lesions (mouth sores) make it painful to eat and talk. Canker sores can be painful, but they are not contagious. The tongue fissures were extremely tender and had a striking geometric pattern: longitudinal, crossed, or branched. These symptoms resolved spontaneously and were believed to be side effects of carbamazepine. Leukoplakia and erythroplakia have been described as pre or rather potentially malignant oral diseases. A clinical diagnosis of hand, foot and mouth disease was made. After destruction of the nerve cells, blisters and inflammation present itself in the region where the virus was contracted, oral or genital.
Many cases may not be apparent until after recovery from a local or general anaesthetic. Premenstrual distress is also another factor. This disease is caused by enteroviruses, most commonly coxsackievirus A5, A7, A9, A10, A16, B2, or B5, and enterovirus 71.1 Hand-foot-and-mouth disease usually occurs in children younger than 10 years. This virus is latent (dormant) in afflicted people, but can be activated by conditions such as stress, fever, trauma, hormonal changes, and exposure to sunlight. This virus is latent (dormant) in afflicted people, but can be activated by conditions such as stress, fever, trauma, hormonal changes, and exposure to sunlight. When lesions reappear, they tend to form in the same location. Treatment consists of coating the lesions with a protective barrier ointment containing an antiviral agent, for example 5% acyclovir ointment.
Saliva substitutes and antifungal creams are used to treat candidiasis. The patient also had a painful transverse fissure, 2 cm in length, on the dorsum of his tongue. Presently, there is no cure, but there is much research activity underway in this field. Occasionally, a patient will be referred in to me for bluish pigmentation underneath the tongue. Herpangina, another self limiting disease in children due to multiple types of coxsackie viruses and echoviruses and characterized by acute febrile illness with headache, sore throat, dysphagia, anorexia, occasionally stiff neck, and small yellowish-white vesicles/ulcers with erythematous areola distributed irregularly over posterior oropharynx (anterior faucial pillars, tonsils, uvula, or soft palate), closely mimics HFMD. But the virus can still be spread, even when no sores or other symptoms are present. Patients present with chronic non-specific mucosal ulcerations, a beefy red tongue, and angular cheilitis.
Treatment: Aphtha gets better spontaneously in 7-10 days even when they are not treated. Unfortunately, no cure exists at present.