Monday, October 03, 2005

What is the difference between Canker sores and Cold sores?

Cold sores or fever blisters are caused by the herpes simplex virus and are usually relatively easy to identify.

There is another condition which causes ulcers inside the mouth known as Canker sores which are not a form of herpes, however, they are often confused and mistaken for cold sores.

Canker sores are ulcerations, especially of the lip or oral mucosa and can be caused by acute stress, trauma to the area in your mouth, allergies, or by a reaction to a particular bacteria.

Canker sores are not considered to be contagious. Cold sores and mouth herpes on the other hand are caused by the herpes simplex virus and can be very contagious.

Where do cold sores usually appear?

Cold sores are usually confined to the mouth area (particularly on and around the lip).
Less commonly, cold sores can occur on other facial areas such as above the mouth, the nose, nostrils, cheek or chin.

Cold sores can also appear on the fingers, this is referred to as 'Herpes Witlow'.
Cold sores do not usually occur inside the mouth, however if they do, it is most likely on the gums or hard palette (roof of the mouth).

If the lesion appears inside the mouth, especially on the soft tissue, it is most likely to be a canker sore, not a cold sore. When cold sores reoccur they will typically appear in the same location that they did during previous outbreaks.

How common are cold sores?

Cold sores are very common. It is estimated that 80% percent of the American population have been exposed to the Herpes simplex virus (which is the virus that causes cold sores).

An interesting fact is that although a person has been infected with the herpes and cold sore virus, they may not necessarily experience an outbreak. This is because some people's immune systems have the ability to completely suppress the virus.

Are cold sores really Herpes?

Yes. cold sores are caused by a type of the herpes virus, but, it is rarely the same virus strand that causes genital Herpes. Cold sores are typically caused by Herpes simplex virus type 1 (HSV1).

Genital herpes on the other hand is usually caused by a different strand of the virus called Herpes simplex virus type 2 (HSV2).

However, it is possible to transfer the different viruses to other areas of the body. HSV1 (or cold sores) can be transferred to the genitals through oral sex. In the same way, HSV2 (or genital herpes) can be transferred to the mouth.

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