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Consultant for Pediatricians. Quiz of the Week
August 2, 2012
A 17-year-old man, who was being treated for Hodgkin lymphoma, presented for medical attention because of the presence of extremely painful “sores” on his lip. He also had newly developed palpable submandibular and submental lymphadenopathy. Please add your comments below and click here for discussion. by Gaylene Chapman | August 10, 2012 10:30 AM EDT Start him on antivirals, monitor for mucositis may need magic mouthwash (lidocaine, Benadryl, maloxx). Hold treatment if symptoms worsen. by Kerstin Dr Koenig | August 10, 2012 10:12 AM EDT does he has a history of HSV? The location is unusual, but due to immunosuppression it is possible. I would want to avoid complications (further spreading, eye or ear involvement) therefore I'd go with antivirals asap. by jaume querol | August 09, 2012 8:43 PM EDT TZANK TEST by Courtney Babaoff | August 09, 2012 12:44 PM EDT Test for HSV given the fact that he has painful lesions and is immunosuppresed. |
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