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<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Herpangina is a viral illness that involves ulcers and sores (lesions) inside the mouth, a&nbsp;<a href="http://www.zdrav.kz/node/10272">sore throat</a>, and&nbsp;<a href="https://medlineplus.gov/ency/article/003090.htm">fever</a>.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Causes</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Herpangina is a common childhood infection. It is most often seen in children ages 3 - 10, but it can occur in any age group.</span></span></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">It is typically 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.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Symptoms</span></span></strong></p>

<ul>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Fever</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Headache</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Loss of appetite</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Sore throat, or painful swallowing</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Ulcers&nbsp;in the mouth and throat, and similar sores on the feet, hands, and buttocks</span></span></p>
	</li>
</ul>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">The ulcers usually have a white to whitish-gray base and a red border. They may be very painful. Generally, there are only a few sores.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Exams and Tests</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Tests are not normally necessary.Your doctor can usually diagnose this condition by performing a physical exam and asking questions about the child&#39;s symptoms and medical history.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Treatment</span></span></strong></p>

<p style="text-align: justify;"><span style="font-family: arial, helvetica, sans-serif;">The symptoms are treated as necessary:</span></p>

<ul>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Take acetaminophen or ibuprofen by mouth for fever and discomfort as the doctor recommends.</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Increase fluid intake, especially cold milk products. Gargle with cool water or try eating popsicles. Avoid hot beverages and citrus fruits.</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Eat a non-irritating diet. (Cold milk products, including ice cream, are often the best choices during herpangina infection. Fruit juices are too acidic and tend to irritate the mouth sores.) Avoid spicy, fried, or hot foods.</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Use topical anesthetics for the mouth (these may contain benzocaine or xylocaine and are usually not required).</span></span></p>
	</li>
</ul>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Outlook (Prognosis)</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">The illness normally clears up within a week.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Possible Complications</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Dehydration is the most common complication, but it can be treated by your doctor.</span></span></p>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">When to Contact a Medical Professional</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Call your health care provider if:</span></span></p>

<ul>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Fever,&nbsp;sore throat, or mouth sores last for more than 5 days</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Your child is having trouble drinking liquids or looks&nbsp;dehydrated</span></span></p>
	</li>
	<li style="text-align: justify;">
	<p><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Fever&nbsp;becomes very high or does not go away</span></span></p>
	</li>
</ul>

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<p style="text-align: justify;"><strong><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Prevention</span></span></strong></p>

<p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Good handwashing practices can help prevent the spread of the viruses that lead to this infection.</span></span></p>
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