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Sore mouth,Sore Throat
  1. Rahul Pankhania1,
  2. James Rudd1,
  3. Alison Liu2
  1. 1 ENT Department, Royal Surrey County Hospital NHS Trust, Guildford, UK
  2. 2 ENT Department, Royal Sussex County Hospital NHS Trust, Brighton, UK
  1. Correspondence to Dr Rahul Pankhania, Royal Surrey County Hospital NHS Foundation Trust, Guildford GU2 7XX, UK; rahul.pankhania{at}

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Clinical introduction

A 21-year old man presented to the emergency department with a 3 day history of sore throat and fever. The General Practitioner had started antibiotics 2 days previously; however, the patient was now unable to swallow with worsening pain.

Figure 1

Examination of the oral cavity.


What is the most likely diagnosis seen in figure 1.

  1. Herpes simplex virus

  2. Aphthous ulcers

  3. Drug reaction

  4. Erythema multiforme

Answer: B

There are a crop of aphthous ulcers along the …

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  • Contributors JR reviewed the case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; internally peer reviewed.