Herpangina is caused by coxsackievirus group A, types 1-6, 8, 10, and 22 most commonly. Most commonly occurring in the summer and autumn, herpangina presents with a sudden onset of high fever, sore throat, headache, and malaise followed by eruption of oral vesicles 1 to 2 mm in size within 24 to 48 h. The vesicles quickly rupture, leaving numerous shallow, painful ulcers. The soft palate, uvula, posterior pharynx, and tonsilar pillars are usually affected, sparing the buccal mucosa, tongue, and gingiva. The disease lasts 7 to 10 days and can be distinguished from herpetic gingivostomatitis by the lack of gingival involvement. 11
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Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?