Rash Inside the Mouth
Am Fam Physician. 2017 Jun 1;95(11):729-730.
A 40-year-old woman presented with a four-day history of sore throat, dry cough, malaise, and myalgia. She did not have red or watery eyes. One day before these symptoms began, she noted a rash on the inside of her mouth. She did not have constitutional symptoms such as fever, chills, or weight changes. She had not been exposed to sick contacts or unimmunized children.
On physical examination, she appeared well and was in no acute distress. There was mild tonsillar hypertrophy with mild erythema and no discharge. A greyish-white vesicular eruption with an erythematous background was noted on the buccal mucosa (Figure 1).
Based on the patient's history and physical examination findings, which one of the following is the most likely diagnosis?
A. Fordyce spots.
B. Herpetic gingivostomatitis.
C. Koplik spots.
D. Oral candidiasis.
The answer is C: Koplik spots. Koplik spots
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This series is coordinated by John E. Delzell Jr., MD, MSPH, Assistant Medical Editor.
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