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1

Shunmugavelu, Karthik, and Evangeline Cynthia. "Fellatio associated palatal petechiae: An accidental finding." Hellenic Archives of Oral & Maxillofacial Surgery 23, no. 3 (2022): 197–99. http://dx.doi.org/10.54936/haoms233197199.

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Objective: Oral lesions can develop from variable etiological factors. So it is of utmost importance to obtain a comprehensive history and oral examination. Fellatio is commonly practiced sexual act, in which the penis is placed into the mouth of another person and may result in submucosal hemorrhage of the palate. The lesions are asymptomatic and typically appear on the soft palate. Description: In this report we report a case of a 57 year old woman who presented with an incidental erythema- tous lesion about 3 cm with a clear centre on her soft palate during her dental visit. Conclusion: As
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Tajbaby, Mehra Raakhee, Sharma Manoj, and Manas Mehra M. "Ayurvedic Management of Oral Erythroplakia Presenting as Palatal Petechiae: A Case Report with Therapeutic Insights and Classical Correlation." International Journal Of Ayurvedic And Herbal Medicine 15, no. 03 (2025): 4948–53. https://doi.org/10.5281/zenodo.15378435.

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Oral erythroplakia (OE) is a potentially malignant disorder of the oral mucosa with a high risk of cancerous transformation, ranking among the most likely to become malignant among oral premalignant conditions. Clinically, it appears as a red patch with clear boundaries, and histopathologically, it may show epithelial dysplasia, carcinoma in situ, or invasive carcinoma. Palatal petechiae, which are small hemorrhagic spots on the soft palate, can be an early sign of OE, especially in individuals at high risk. This case report describes the Ayurvedic treatment of OE presenting as palatal petechi
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3

Azevedo, Rita, Leonardo Vinagre, Diana Marques, et al. "The impact of rapid antigen detection test (RADT) for group A streptococcus on the antibiotic prescription: an observational study from a primary care setting in Lisbon." Revista Portuguesa de Clínica Geral 39, no. 2 (2023): 121–28. http://dx.doi.org/10.32385/rpmgf.v39i2.13468.

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Introduction: Acute pharyngitis is a common diagnosis in primary care. Although viruses are the most common aetiology, antibiotic therapy is frequently prescribed. The inappropriate antibiotic prescription should be avoided to prevent antibiotic resistance. Many national and international guidelines recommend testing for group A streptococcus (GAS) before antibiotic treatment when clinical presentation suggests GAS infection. Aim: This study aims to describe the feasibility of the implementation of the rapid antigen detection test (RADT) in a primary care setting and its impact on antibiotic p
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Ghosh, Mrinmay. "Answer to dengue and chikungunya: specific antiviral therapy." International Journal of Advances in Medicine 4, no. 2 (2017): 603. http://dx.doi.org/10.18203/2349-3933.ijam20171069.

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Dengue is probably the most important arthropod borne viral disease worldwide, with 50-100 million infections occurring per year. Year-round transmission of dengue viruses of serotype 1-4 is prevalent globally. Vectors are Aedes aegypti and Aedes albopictus. Laboratory diagnosis by ELISA for IgM or RT-PCR, Incubation period 4-7days, sudden onset of fever, frontal headache, retro orbital pain, back pain with severe myalgia, a transient macular rash on the first day, lymphadenopathy, palatal vesicles, scleral infections. Illness may last a week with clinical signs; anorexia, nausea, vomiting, ma
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5

Mehrotra, Bandana. "Emperipolesis, Apoptosis and Hemophagocytosis during Acute Epstein-Barr Virus (EBV) infection: A Case Report." Journal of Medical Science And clinical Research 11, no. 09 (2023): 20–24. http://dx.doi.org/10.18535/jmscr/v11i9.03.

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An eight-year-old patient had intermittent high grade fever and pharyngitis since one week. Later, he developed left-sided cervical lymphadenitis. Subsequently, he also developed palatal petechiae. Absolute lymphocyte count (ALC) was raised (ALC 20,262 cells/mm³). Hepatosplenomegaly was also detected. Clinically, the current case was diagnosed as a case of infectious mononucleosis. Possibility of infection by Epstein-Barr virus was considered. FNAC was done. Blood-mixed aspirate showed monocytoid cells with mild pleomorphic nuclei, and clumped chromatin. Inconspicuous nucleoli and abundant eos
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Fölster-Holst, Regina. "Langerhans-Zell-Histiozytose: Kenntnisse zur extrakutanen Manifestation sind unerlässlich." Kompass Dermatologie 6, no. 2 (2018): 87–88. http://dx.doi.org/10.1159/000487649.

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A 12-month-old healthy girl presented with a chronic diaper rash. Physical examination demonstrated crusting of the scalp, erythematous papules with surrounding petechiae on the lower abdomen, and an intraoral palatal ulcer. Further imaging demonstrated bone involvement. Histopathologic examination of involved skin and the intraoral ulcer demonstrated epithelioid histiocytes with «coffee bean-shaped» nuclei, staining positive for CD1a and langerin by immunohistochemistry, consistent with Langerhans cell histiocytosis (LCH). LCH is a disease entity of unknown etiology characterized by histiocyt
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7

Mumba, Mwela Bupe, Sharshakova Anastasia, and Bersanova Karina Khozhbaudievna. "Infectious Mononucleosis in a 3-year-old Male Child: A Case Report and Review of the Literature." Medical Journal of Zambia 46, no. 4 (2019): 362–66. http://dx.doi.org/10.55320/mjz.46.4.607.

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We present a case of Infectious mononucleosis in a 3-year-old male who presented to us with a one-day history of sore throat, difficulty breathing, fever and general malaise. Examination showed marked enlarged hyperaemic bilateral tonsils with white exudates, palatal petechiae, dyspnoea, drooling, p e r i o r b i t a l o e d ema a n d g e n e r a l i s e d lymphadenopathy. However, on day 7 post admission and treatment he developed a clearly defined, maculopapular rash, pruritic in nature, which was accompanied with slight fever of 37.8*. His past history included an episode of otitis mediawhi
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Mumba, Mwela Bupe, Sharshakova Anastasia, and Bersanova Karina Khozhbaudievna. "Infectious Mononucleosis in a 3-year-old Male Child: A Case Report and Review of the Literature." Medical Journal of Zambia 46, no. 4 (2020): 362–66. http://dx.doi.org/10.55320/mjz.46.4.249.

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We present a case of Infectious mononucleosis in a 3-year-old male who presented to us with a one-day history of sore throat, difficulty breathing, fever and general malaise. Examination showed marked enlarged hyperaemic bilateral tonsils with white exudates, palatal petechiae, dyspnoea, drooling, p e r i o r b i t a l o e d ema a n d g e n e r a l i s e d lymphadenopathy. However, on day 7 post admission and treatment he developed a clearly defined, maculopapular rash, pruritic in nature, which was accompanied with slight fever of 37.8*. His past history included an episode of otitis mediawhi
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9

Mahony, Talia, Douglas Sidell, Hayley Gans, et al. "Palatal Petechiae in the Absence of Group A Streptococcus in Pediatric Patients with Acute-Onset Neuropsychiatric Deterioration: A Cohort Study." Journal of Child and Adolescent Psychopharmacology 27, no. 7 (2017): 660–66. http://dx.doi.org/10.1089/cap.2016.0153.

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Kaur, Simran, and Manisha Lakhanpal Sharma. "Oro-Facial Manifestations of COVID-19 Vaccines: A Systematic Review." Saudi Journal of Oral and Dental Research 8, no. 06 (2023): 191–200. http://dx.doi.org/10.36348/sjodr.2023.v08i06.003.

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Severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) emerged in Wuhan, China, in late 2019. This became a global health crisis which caused millions of deaths worldwide. The first official case reported in India on 27th January 2020 in Thrissur, Kerala. The vaccines developed, approved and in function are Covaxin (BBV152), Oxford-AstraZeneca (ChAdOx1nCoV-19), Covishield, PfizerBioNtech and Moderna. These vaccines are still under their respective phases of trials. Their adverse effects are under surveillance. In India these AEFIs are reported to Ministry of Health and Family welfare. Th
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11

Uluğ, Mehmet, Mustafa Kemal Çelen, Celal Ayaz, Mehmet Faruk Geyik, and Salih Hoşoğlu. "Acute hepatitis: a rare complication of Epstein-Barr virus (EBV) infection." Journal of Infection in Developing Countries 4, no. 10 (2010): 668–73. http://dx.doi.org/10.3855/jidc.871.

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Infectious Mononucleosis (IM), a benign lymphoproliferative disease, is the best known clinical syndrome caused by Epstein-Barr Virus (EBV). It usually resolves over a period of weeks or months without sequelae but may occasionally be complicated by a wide variety of neurologic, hematologic, hepatic, respiratory, and psychological complications. In this report we describe a patient with acute hepatitis following EBV-IM in a previously healthy woman. A 26-year-old woman who presented with fever, generalized weakness, nausea, sore throat, yellowing of skin, and a generalized skin rash was admitt
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12

Nibhanipudi, Kumara V. "A Study to Determine if Addition of Palatal Petechiae to Centor Criteria Adds More Significance to Clinical Diagnosis of Acute Strep Pharyngitis in Children." Global Pediatric Health 3 (March 4, 2016): 2333794X1665794. http://dx.doi.org/10.1177/2333794x16657943.

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13

Girbo, Ahmad Adamu, Iliya Jalo, Elon Warnow Isaac, Amina Mohammed, and Aliu Rasaki. "Prevalence and Clinical Presentation of Group A Streptococcal Pharyngitis in Children at a Tertiary Hospital in Gombe, North-East Nigeria." Jewel Journal of Medical Sciences 3, no. 1 (2022): 37–45. http://dx.doi.org/10.56167/jjms.2022.0301.04.

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Background: Globally, Group A ß-Haemolytic Streptococcus (GAßHS) pharyngitis and its complications are major contributors to childhood morbidity and mortality, especially in developing countries. The diagnosis and treatment of GAßHS pharyngitis in these countries is often empirical resulting in frequent misdiagnosis and inappropriate treatment. Determining the local prevalence and clinical presentations of GAßHS pharyngitis will be essential for making informed clinical decision. Objective: The objective of the study was to determine the prevalence and clinical presentations of GAßHS among chi
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14

Sharma, Preeti, Sangeeta Malik, Vijay Wadhwan, and Rishabh Sharma. "Pathophysiology of oral lesions subsequent to SARS-CoV-2 vaccination: A systematic review." Journal of Oral and Maxillofacial Pathology 28, no. 3 (2024): 443–54. http://dx.doi.org/10.4103/jomfp.jomfp_511_23.

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Abstract Amidst worldwide reports of adverse oral lesions subsequent to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination, the current systematic review planned to determine the prevalence of adverse oral events in adult individuals (≥18 years) after SARS-CoV-2 vaccination, emphasizing upon the type and dose of vaccine, time of onset, and underlying pathophysiology. The registered protocol (PROSPERO CRD42023421307), conforming with PRISMA guidelines, included an all-inclusive literature search through online databases, consisting of Scopus, PubMed/MEDLINE, Web of Science
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15

Bride, Karen Lee, Derick Lim, Michele Paessler, and Michele P. Lambert. "Can Immature Platelet Fraction (IPF) be Used to Assess Bleeding Risk in Pediatric Immune Thrombocytopenia (ITP) and to Differentiate ITP from Bone Marrow Failure/Aplastic Anemia? A Retrospective Analysis." Blood 126, no. 23 (2015): 3474. http://dx.doi.org/10.1182/blood.v126.23.3474.3474.

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Abstract Immune Thrombocytopenia (ITP) usually presents with isolated, severe thrombocytopenia with very low platelet count (generally less than <30 x 109/L) in the absence of other hematologic abnormalities. However, ITP is a diagnosis of exclusion without any definite diagnostic test that can confirm the diagnosis at the time of presentation and clinicians occasionally worry at the time of presentation about other bone marrow processes that may present with thrombocytopenia, which would require considerably different therapy. In light of current guidelines suggesting that observation is l
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16

Ma, Meiqian, Erin E. Masterson, Jaynelle Gao, et al. "Development of Autoimmune Diseases Among Children With Pediatric Acute-Onset Neuropsychiatric Syndrome." JAMA Network Open 7, no. 7 (2024): e2421688. http://dx.doi.org/10.1001/jamanetworkopen.2024.21688.

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ImportanceEpidemiologic studies indicate a high rate of autoimmune conditions among patients with obsessive-complusive disorder and other psychiatric conditions. Furthering the understanding of the inflammatory diatheses of psychiatric conditions may open doors to new treatment paradigms for psychiatric disorders.ObjectivesTo evaluate whether pediatric acute-onset neuropsychiatric syndrome (PANS) is associated with an inflammatory diathesis by assessing signs of immune activation and vasculopathy during a psychiatric symptom exacerbation (flare), estimating the risk of developing arthritis and
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Byrne, Alexandra, Rachel Bush, Felicia Johns, and Kiran Upadhyay. "Limited Utility of Serology and Heterophile Test in the Early Diagnosis of Epstein–Barr Virus Mononucleosis in a Child after Renal Transplantation." Medicines 7, no. 4 (2020): 21. http://dx.doi.org/10.3390/medicines7040021.

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Background: Epstein–Barr virus (EBV) infection is associated with significant morbidity and mortality in renal transplant (RT) recipients. The spectrum of illness ranges from infectious mononucleosis (IM) to post-transplant lymphoproliferative disorder (PTLD). In association with clinical signs and symptoms, virus-specific serology and heterophile antibody tests are widely used in confirming the diagnosis of IM in the general population. However, these tests may have a limited role in immunosuppressed RT recipients from seropositive donor, especially in children who were EBV-seronegative prior
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18

Bugălă, Narcis Mihăiţă, Mara Carsote, Loredana Elena Stoica, et al. "New Approach to Addison Disease: Oral Manifestations Due to Endocrine Dysfunction and Comorbidity Burden." Diagnostics 12, no. 9 (2022): 2080. http://dx.doi.org/10.3390/diagnostics12092080.

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This review highlights oral anomalies with major clinical impact in Addison disease (AD), including dental health and dermatologic features, through a dual perspective: pigmentation issues and AD comorbidities with oral manifestations. Affecting 92% of AD patients, cutaneomucosal hyperpigmentation is synchronous with or precedes general manifestations by up to a decade, underlying melanocytic infiltration of the basal epidermal layer; melanophages in the superficial dermis; and, rarely, acanthosis, perivascular lymphocytic infiltrate, and hyperkeratosis. Intraoral pigmentation might be the onl
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19

Nakagawa, Hiroaki, Yasushi Miyata, and Masato Maekawa. "Infectious Mononucleosis with Eyelid Edema and Palatal Petechiae." Korean Journal of Internal Medicine, August 28, 2020. http://dx.doi.org/10.3904/kjim.2020.350.

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Sebastian, Anjely P., Muralidhar Varma, and Nitin Gupta. "Kyasanur Forest disease in India: a case report." Journal of Travel Medicine, May 16, 2024. http://dx.doi.org/10.1093/jtm/taae071.

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The presence of bleeding manifestations, generalized erythema, palatal petechiae, conjunctival congestion, haemoconcentration, leucopenia, thrombocytopenia, raised transaminases and coagulopathy in a patient with a history of residence or travel to endemic regions in South India should alert the travel medicine practitioner to the possibility of Kyasanur Forest Disease.
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21

Sayare, Bhawna, Vinay Kumar Bhardwaj, and Deepak Sharma. "Palatal petechiae: an uncommon oral adverse effect of COVID-19 vaccine." Egyptian Journal of Otolaryngology 37, no. 1 (2021). http://dx.doi.org/10.1186/s43163-021-00167-w.

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Abstract Background The authors present an unusual, unreported oral adverse effect of COVID-19 vaccine as palatal petechiae lesions. Case presentation COVID-19 disease caused by severe acute respiratory syndrome coronavirus 2 has become a global health crisis and has caused millions of deaths worldwide. Vaccination programs have been initiated in many countries for COVID-19 prevention. The ChAdOx-nCoV-19 vaccine has been shown to provide a robust immune response in various clinical trials. It is well tolerated by recipients and has been associated with minor adverse effects. The COVISHIELD (Ch
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22

Deeter, Kelsey, Angelina Rohlfs, John McCabe, and Erin Westfall. "In pediatric patients, what role does palatal petechiae have in the diagnosis of GAS pharyngitis?" Evidence-Based Practice Publish Ahead of Print (July 22, 2021). http://dx.doi.org/10.1097/ebp.0000000000001404.

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23

Cohen, Philip R., and Virginia M. Miller. "Fellatio-associated petechiae of the palate: report of purpuric palatal lesions developing after oral sex." Dermatology Online Journal 19, no. 7 (2013). http://dx.doi.org/10.5070/d3197018963.

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24

Haynes, Michael A., M’hamed Temkit, Igor Kushner, and Diane E. Hindman. "Appropriateness of Use of Streptococcal Pharyngitis Testing and Associated Antibiotic Prescribing in the Urgent Care Setting." Clinical Pediatrics, March 12, 2024. http://dx.doi.org/10.1177/00099228241237908.

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The primary objective was to evaluate Group A streptococcal (GAS) tests performed with a Modified Centor Criteria (MCC) Score < 3 at Urgent Care Clinics (UCC). Secondary objectives included evaluating the MCC sensitivity and specificity, antibiotics prescribed with an MCC score < 3, and association between palatal petechiae and GAS pharyngitis infections. This was a retrospective review from July 1, 2018, to June 30, 2019, of Rapid Antigen Detection Tests (RADTs) on patients with ICD codes associated with pharyngitis. Fifteen hundred patient charts were reviewed. The majority of MCC scor
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25

Gebre, Alemitu Beyene, Demissie Assegu Fenta, Abel Abera Negash, and Betelihem Jima Hayile. "Prevalence, Antibiotic Susceptibility Pattern and Associated Factors of Streptococcus pyogenes among Pediatric Patients with Acute Pharyngitis in Sidama, Southern Ethiopia." International Journal of Microbiology 2024, no. 1 (2024). http://dx.doi.org/10.1155/2024/9282571.

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Background. Streptococcus pyogenes is the most frequent cause of pharyngitis and skin infections in children and causes immune complications like rheumatic fever and rheumatoid heart disease (RHD), particularly in developing countries like Ethiopia. The aim of this study was to determine the prevalence, antibiotic resistance pattern, and associated factors of Streptococcus pyogenes among pediatric patients suspected of acute pharyngitis in Sidama Region, Southern Ethiopia. Methods. A cross‐sectional study was conducted on 213 acute pharyngitis suspected pediatric patients from April to Septemb
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Khalif, Abdifatah, Meryl Wanjohi, and Angela Migowa. "E50 Central Nervous System manifestation of Systemic Lupus Erythematosus: A case presentation." Rheumatology 62, Supplement_3 (2023). http://dx.doi.org/10.1093/rheumatology/kead323.050.

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Abstract Background Systemic Lupus Erythematosus (SLE) is a complex, chronic, multisystem autoimmune disease with clinical manifestations in all organ systems. It is characterized by production of autoantibodies to components of the cell nucleus. Pediatric patients tend to have more severe disease and widespread organ involvement. If untreated, the 5-year mortality rate is almost 95%. Literature on SLE, more so pediatric SLE in Sub-Saharan Africa is scarce. Aim To describe the diagnostic journey of a child with CNS lupus in our setting. Method Retrospective chart review of a child with CNS Lup
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