Aphthous stomatitis: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Derm" to "Category:Dermatology") |
No edit summary |
||
| Line 9: | Line 9: | ||
*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== | |||
{{DDX oral rashes and lesions}} | |||
==Diagnosis== | |||
==Treatment== | ==Treatment== | ||
*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 | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
Revision as of 21:08, 26 April 2016
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
Diagnosis
Treatment
- Topical corticosteroids
- Betamethasone syrup OR
- Dexamethasone 0.01% elixir as mouth rinse OR
- Fluocinonide 0.05% gel applied topically to isolated lesions
Disposition
See Also
Source
- Tintinalli