A diagnosis involving multiple white lesions, sore gums and tongue, and fever is likely to be?

A diagnosis involving multiple white lesions, sore gums and tongue, and fever is likely to be?

• A. Primary Herpetic Stomatitis
• B. Median rhomboid glossitis
• C. Pemphigus vulgaris
• D. Kaposi's sarcoma

Answer: (A)

The symptoms described – multiple white lesions, sore gums and tongue, and fever – are indicative of Primary Herpetic Stomatitis. This condition is often caused by the Herpes Simplex Virus (HSV), particularly type 1. During the initial outbreak, patients may experience systemic symptoms such as fever, along with localized symptoms including painful, vesicular lesions on the oral mucosa. These lesions can present as white or ulcerative spots that affect the gums, tongue, and other areas in the mouth, leading to discomfort and difficulty eating. The presence of fever alongside the oral lesions strongly supports the diagnosis of Primary Herpetic Stomatitis. This differs from other conditions such as Median rhomboid glossitis, which is typically a chronic and asymptomatic condition characterized by a specific reddish lesion at the back of the tongue without accompanying systemic symptoms or fever. Pemphigus vulgaris involves blistering and lesions, but it often presents with more pronounced signs of mucosal and skin involvement rather than initial fever and widespread lesions. Kaposi's sarcoma, associated with HIV infection and other immunocompromised states, presents with localized lesions rather than the acute symptoms of fever and oral ulceration seen in the other condition. Thus, the clinical context provided aligns

The symptoms described – multiple white lesions, sore gums and tongue, and fever – are indicative of Primary Herpetic Stomatitis. This condition is often caused by the Herpes Simplex Virus (HSV), particularly type 1. During the initial outbreak, patients may experience systemic symptoms such as fever, along with localized symptoms including painful, vesicular lesions on the oral mucosa. These lesions can present as white or ulcerative spots that affect the gums, tongue, and other areas in the mouth, leading to discomfort and difficulty eating.

The presence of fever alongside the oral lesions strongly supports the diagnosis of Primary Herpetic Stomatitis. This differs from other conditions such as Median rhomboid glossitis, which is typically a chronic and asymptomatic condition characterized by a specific reddish lesion at the back of the tongue without accompanying systemic symptoms or fever. Pemphigus vulgaris involves blistering and lesions, but it often presents with more pronounced signs of mucosal and skin involvement rather than initial fever and widespread lesions. Kaposi's sarcoma, associated with HIV infection and other immunocompromised states, presents with localized lesions rather than the acute symptoms of fever and oral ulceration seen in the other condition.

Thus, the clinical context provided aligns