Aphthous stomatitis: Difference between revisions
(Text replacement - "OR" to "'''OR'''") |
|||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Affects 20% of the normal population | *Affects 20% of the normal population | ||
*Unclear etiology | *Unclear etiology. Common triggers: stress, hormonal changes, smoking, certain food such as coffee, chocolate. | ||
*Resolve spontaneously in 10-14d | *Resolve spontaneously in 10-14d | ||
Revision as of 19:50, 27 November 2017
Background
- Affects 20% of the normal population
- Unclear etiology. Common triggers: stress, hormonal changes, smoking, certain food such as coffee, chocolate.
- 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