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 | ||
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{{DDX oral rashes and lesions}} | {{DDX oral rashes and lesions}} | ||
== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==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 | *[[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 | ||
*Biopsy to evaluate for malignancy or immune-mediated disease is recommended if lesion does not respond appropriately to steroids | |||
==Disposition== | ==Disposition== | ||
Discharge | |||
==See Also== | ==See Also== | ||
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.