Angina blanche (white dots in the throat): treatment

Angina blanche is also known as erythematopultaceous angina, a medical term meaning that it is not only red but accompanied by small white dots on the surface of the tonsils. Bacterial, it must be treated with antibiotics.

Definition: What is white angina?

Angina blanche is also known aserythematous angina pectorisa medical term meaning that not only is it red, but it is accompanied by small white dots on the surface of the tonsils. It is an inflammation of the throat that is usually benign. White angina is more common in children between the ages of 5 and 15s than in adults.

What are the symptoms of angina blanche?

Red and sore throat, difficulty swallowing, fatigue and fever are the main manifestations of angina blanche. These symptoms can be accompanied by indigestion, runny nose, cough and earache. White angina differs from red angina by the Presence of a whitish coating on the tonsils that forms spots. The presence of this coating does not affect the severity of angina.

What are the causes of white angina?

In 80% of cases, sore throats are of viral origin, like red angina. The condition is caused by a virus that can be spread through the air (coughing or sneezing), physical contact, or coming into contact with a contaminated object. Another possible cause: a bacterium, usually group A beta-hemolytic streptococci. Angina blanche can also be the result of mononucleosis.

Is it contagious?

White angina is very contagious. Therefore, it is important to follow the rules of hygiene:

  • Wash your hands regularly with soap and water or a hydroalcoholic solution.
  • If you cough or sneeze, put it in a tissue and throw it away. If you don’t have one, cover your mouth or nose with your elbow. Avoid getting close to sensitive people (elderly, children, babies) or wear a mask to protect them.
  • Avoid direct contact during the period of angina pectoris: avoid shaking hands, kissing your loved ones…
  • Do not share everyday objects (glasses, cutlery, etc.) and clean the objects you use (toys, phone, etc.).
  • Air your interior twice a day for 20 minutes.

Should a test be done to confirm the diagnosis?

Angina blanche is diagnosed by examining the throat (it is whitish and swollen) and observing the main symptoms. “A rapid diagnostic test (RDT), performed using a tonsil swab and dipstick, may be needed to determine if the cause of angina is group A beta-hemolytic streptococcus, which requires antibiotic treatment.says Dr. Jean-Michel Morel, general practitioner, expert in phytoaromatics. This test can only be performed from the age of 3 years.

Recurrent angina pectoris

Repeated angina pectoris (chronic angina pectoris) causes pain when swallowing, abnormally swollen tonsils and persistent general malaise. Recurrent angina is more pronounced in children than in adults, in the latter the symptoms are less important, and the infectious manifestations are almost absent. In adults, recurrent angina is common not very dangerous, except with poorly treated bacterial angina. They may require a tonsillectomy.

Treatment depends on the cause of angina blanche. in case of an white angina of viral origin, the doctor prescribes paracetamol First-line or non-steroidal anti-inflammatory drugs. A Antibiotic treatment is recommended for white angina caused by a bacterium : amoxicillin in general or cephalosporin or even a macrolide in case of allergy. “Phytotherapy can also be useful: plants with tannins, blackberry leaves or cypress, for example in drinks and gargling, can help you”says dr Morel.

What are the complications?

Angina blanche of viral origin is generally not serious and heals in less than a week. However, it may be accompanied by bronchitis or sinusitis.
On the other hand, without treatment, bacterial angina can lead to complications: rheumatism, abscess or kidney disease.

thanks to dr Jean-Michel Morel, general practitioner, expert in phytoaromatics

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