July 1941


Author Affiliations

St. Louis.

Am J Dis Child. 1941;62(1):169. doi:10.1001/archpedi.1941.02000130180018

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To the Editor:—The interesting article by Dr. B. B. Breese Jr. entitled "Aphthous Pharyngitis" (Am. J. Dis. Child.61:669 [April] 1941) impels me to report that this disorder, which I regard as a specific disease, was described by me in two articles entitled "Herpetic Sore Throat" (South. M. J.13:1871, 1920) and "Herpangina" (Arch. Pediat.41:181, 1924). Naturally, I am gratified to find that other pediatricians, such as Levine, Hoerr and Allanson (J. A. M. A.112:2020 [May 20] 1939) and, more recently, Breese, have corroborated my earlier observations.

I suggested the name herpangina for this disease. In this connection I should like to point out that the terms aphthous and herpetic are hopelessly confused in the literature. I have taught in recent years that the word aphthous should be applied to superficial erosions or macular infiltrations of the mouth. The typical aphthous stomatitis occurs

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