A 22-year-old female presented to the department with a complaint of small, painful ulcers on her gums and the inside of her lips. The ulcers had appeared as small bumps that had ruptured to form ulcers. Constitutional signs were absent. As far as she could remember, this was her first episode of anything like this.
During her intraoral examination, we noted small ulcers on the gums and labial mucosa.They were small in size approximately 1 to 2mm with reddish appearance. A few of them appeared to have coalesced together and seemed bigger than the rest.
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| Herpetic ulcers on the gingiva and labial mucosa Photo credit: Dr Amber Kiyani |
Multiple tiny small ulcers, a history of "tiny bumps" rupturing into ulcers supported a diagnosis of herpetic stomatitis. To help confirm this diagnosis, a cytology was done. The results were consistent with a herpetic infection.
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| Cytology fo herpes simplex virus Photo credit: Dr Amber Kiyani |
Since the infection had already manifested, we did not prescribe antiviral therapy, we just recommended topical anesthetic agents to help with the pain. The patient was seen on followup 7 days later. The lesions had cleared up until then.
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