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Recurrent Oral Herpes — NDEB AFK MCQ

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ModerateOral MedicineRecurrent Oral HerpesNDEB AFK

The most common viral cause of recurrent oral ulceration in immunocompetent adults is which of the following?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BHerpes simplex virus type 1 (HSV-1) causing recurrent herpes labialis/intraoral herpes

HSV-1 is the most common viral cause of recurrent oral ulceration in immunocompetent adults, presenting as recurrent herpes labialis (cold sores on the vermilion border/perioral skin) or recurrent intraoral herpes (ulcers on keratinised mucosa — hard palate, attached gingiva). After primary infection (PHGS in childhood), the virus establishes latency in the trigeminal ganglion and reactivates periodically, triggered by UV exposure, stress, trauma, immunosuppression, or menstruation. Recurrent aphthous stomatitis (RAS) is NOT viral.

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016