The following symptoms and complaints may indicate herpangina:
Main symptoms
- High fever (between 38 °C and 40 °C) [subsiding after one day – sometimes after 5 days].
- General feeling of illness
- Reddened throat (anterior palatine arch, hard and soft palate, uvula (uvula), pharyngeal wall, and tonsils/palatine tonsils) with whitish, gray vesicles (diameter: 1-2 mm) surrounded by a pale halo; these leave yellowish ulcerations (boils) with red halo after bursting [healing within 3-4 days].
Notes on vesicles and localization
- Vesicles are often located in a row (like a string of pearls).
- A total number of 10-20 bubbles is usually not exceeded.
- Tension, buccal mucosa and gingiva (gums) are rarely affected.
- Never affected is the floor of the mouth or lips.
Secondary symptoms
- Loss of appetite
- Cephalgia (headache)
- Dysphagia (difficulty swallowing)
- Sore throat/throat pain [onset shortly after fever; duration approx.two days].
- Nausea (nausea)
Asymptomatic courses are common.
