Aciclovir in herpes simplex gingivostomatitisBMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7116.1162 (Published 01 November 1997) Cite this as: BMJ 1997;315:1162
Children studied were not representative of those seen in casualty departments
- Helen M Goodyear, Consultant paediatriciana
- a Birmingham Heartlands Hospital, Birmingham B9 5SS
- b 11 Ballyhannon Park, Portadown, Craigavon, County Armagh, Northern Ireland BT63 5SF
Editor—Amir et al's paper on the treatment of primary herpes gingivostomatitis covered a common clinical problem in young children1; few randomised placebo controlled studies have been carried out of treatment for the condition. It is disappointing that this paper has misleading key messages and is unhelpful for those who have to decide how to treat this problem in casualty departments.
The study looked at a select population referred to a tertiary paediatric hospital within 72 hours of the first appearance of lesions. Altogether 84% of the children had <20 lesions. In my experience, few children present to casualty departments in this manner. In a study of 31 children with gingivostomatitis due to herpes simplex virus type …