Ulcerative Stomatitis, Gingivitis, and Skin Lesions. An Unusual Case of Primary Herpes Simplex Infection

A 2-year-old white girl had acute oral ulceration, gingivitis, pyrexia, cervical lymph node enlargement, and a generalized, initially macular and later purpuric rash. None of the common oral viral infections, with the exception of chickenpox, is usually associated with a rash. This presented a diagnostic dilemma that appears not previously to have been reported in the dental literature.