Aphthous stomatitis: Difference between revisions
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==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 | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Aphthous stomatitis.jpg|thumbnail|Apthous ulcer of lip]] | |||
*Involves the nonkeratinized epithelium (especially labial and buccal mucosa) | *Involves the nonkeratinized epithelium (especially labial and buccal mucosa) | ||
*Begins as erythematous macule that ulcerates and forms a central fibropurulent eschar | *Begins as erythematous macule that ulcerates and forms a central fibropurulent eschar | ||
*Lesions measure from 2-3mm to several cm in diameter | *Lesions measure from 2-3mm to several cm in diameter | ||
== | ==Differential Diagnosis== | ||
*Topical corticosteroids | {{DDX oral rashes and lesions}} | ||
**Betamethasone syrup OR | |||
**Dexamethasone 0.01% elixir as mouth rinse OR | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management<ref>Tilliss TS, Mcdowell JD. Differential diagnosis: is it herpes or aphthous?. J Contemp Dent Pract. 2002;3(1):1-15.</ref>== | |||
*[[Topical corticosteroids]] | |||
**[[Betamethasone]] syrup '''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 | ||
*Biopsy to evaluate for malignancy or immune-mediated disease is recommended if lesion does not respond appropriately to steroids | |||
==Disposition== | |||
Discharge | |||
==See Also== | ==See Also== | ||
[[Rash]] | [[Rash]] | ||
== | ==References== | ||
<references/> | |||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category: | [[Category:Dermatology]] | ||
Latest revision as of 18:13, 27 September 2019
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
- Clinical diagnosis
Management[1]
- Topical corticosteroids
- Betamethasone syrup OR
- Dexamethasone 0.01% elixir as mouth rinse OR
- Fluocinonide 0.05% gel applied topically to isolated lesions
- Biopsy to evaluate for malignancy or immune-mediated disease is recommended if lesion does not respond appropriately to steroids
Disposition
Discharge
See Also
References
- ↑ Tilliss TS, Mcdowell JD. Differential diagnosis: is it herpes or aphthous?. J Contemp Dent Pract. 2002;3(1):1-15.