Trench mouth differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Primary herpetic gingivostomatitis is the most important differential diagnosis of trench mouth. Further, differentiating necrotizing ulcerative gingivitis (NUG) from acute herpetic gingivostomatitis is also necessary.
Differential Diagnosis
The most important differential diagnosis of trench mouth is from primary herpetic gingivostomatitis. In particular, differentiating necrotizing ulcerative gingivitis (NUG) from acute herpetic gingivostomatitis should be done on the following classifications:[1]
- Site, duration, and character of ulcer
- Fever
- Symptoms
- Levels of discomfort
- Etiology
- Age
- Contagiousness
- Immunity
Trench mouth must also be differentiated from other diseases that mimic pain and symptoms. These include:[1]
- Streptococcal gingivostomatitis
- Aphthous stomatitis
- Diphtheritic lesions
- Syphilitic lesions
- Tuberculous gingival lesions
- Candidiasis
- Agranulocytosis
- Pemphigus
- Erythema multiform
- Lichen planus