Herpangina is a viral illness that involves ulcers and sores (lesions) inside the mouth, a sore throat, and fever.
Hand, foot, and mouth disease is a related topic.
Herpangina is a common childhood infection. It is most often seen in children ages 3 to 10, but it can occur in any age group.
It is most often caused by Coxsackie group A viruses. These viruses are contagious. Your child is at risk for herpangina if someone at school or home has the illness.
Symptoms may include:
The ulcers most often have a white to whitish-gray base and a red border. They may be very painful. In most cases, there are only a few sores.
Tests are not normally necessary. Your health care provider can most often diagnose this condition by doing a physical exam and asking questions about the child's symptoms and medical history.
The symptoms are treated as necessary:
The illness normally clears up within a week.
Dehydration is the most common complication, but it can be treated by your provider.
Call your provider if:
Good handwashing can help prevent the spread of the viruses that lead to this infection.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Viral diseases. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 19.
Messacar K, Abzug MJ. Nonpolio enteroviruses. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 277.
Romero JR. Coxsackieviruses, echoviruses, and numbered enteroviruses (EV-A71, EVD-68, EVD-70). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 172.BACK TO TOP
Review Date: 8/7/2019
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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