Aphthous stomatitis: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
(Text replacement - "OR" to "'''OR'''") |
||
| Line 17: | Line 17: | ||
==Management== | ==Management== | ||
*Topical corticosteroids | *Topical corticosteroids | ||
**Betamethasone syrup OR | **Betamethasone syrup '''OR''' | ||
**[[Dexamethasone]] 0.01% elixir as mouth rinse OR | **[[Dexamethasone]] 0.01% elixir as mouth rinse '''OR''' | ||
**Fluocinonide 0.05% gel applied topically to isolated lesions | **Fluocinonide 0.05% gel applied topically to isolated lesions | ||
Revision as of 22:57, 30 May 2017
Background
- Affects 20% of the normal population
- Unclear etiology
- Resolve spontaneously in 10-14d
Clinical Features
- Involves the nonkeratinized epithelium (especially labial and buccal mucosa)
- Begins as erythematous macule that ulcerates and forms a central fibropurulent eschar
- Lesions measure from 2-3mm to several cm in diameter
Differential Diagnosis
Oral rashes and lesions
- Angioedema
- Aphthous stomatitis
- Herpes gingivostomatitis
- Herpes labialis
- Measles (Koplik's spots)
- Perioral dermatitis
- Oral thrush
- Steven Johnson syndrome
- Streptococcal pharyngitis
- Tongue diagnoses
- Vincent's angina
Evaluation
Management
- Topical corticosteroids
- Betamethasone syrup OR
- Dexamethasone 0.01% elixir as mouth rinse OR
- Fluocinonide 0.05% gel applied topically to isolated lesions