XXXX in adults: a review of 13 cases, including diagnosis and management.

@entity1 @entity10701 @entity281 @entity6933 @entity2025 @entity28959
OBJECTIVE: To present to general dentists the typical signs and symptoms associated with adult acute (primary) herpetic @entity10701 . The pertinent laboratory tests, management options and current pharmacotherapy are also reviewed. REVIEW DESIGN: The clinical files of 13 adult @entity1 were reviewed. All had no history of @entity2025 and presented with oral lesions suggestive of primary @entity281 . The subjects were all @entity1 of one of the investigators, and their workup included Tzanck testing and viral culture. RESULTS: The @entity1 ranged in age from 18 to 79 (mean 37.2, standard deviation 19.6) years. Nine (69%) were @entity1 . Viral culture was confirmed as the gold standard for diagnosis. The sensitivity of Tzanck testing was 77% (10/13), slightly higher than that reported previously (40% to 50%). In this @entity1 group the febrile lymphadenopathic profile was typical of younger @entity1 (18 to 42 years of age), whereas older @entity1 presented with predominantly oral symptoms. CONCLUSIONS: @entity10701 is not limited to @entity1 but can affect @entity1 of any age. Proper diagnosis and treatment are essential, particularly in elderly and immunocompromised @entity1 . Tzanck testing may serve as a useful adjunct in diagnosis. Antiviral agents such as @entity6933 and @entity28959 should be considered part of early management. Dentists are often the first health care professionals to be consulted by @entity1 with this condition, and recognition of the @entity281 is paramount.
