Aphthous stomatitis

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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

Treatment

  • Topical corticosteroids
    • Betamethasone syrup OR
    • Dexamethasone 0.01% elixir as mouth rinse OR
    • Fluocinonide 0.05% gel applied topically to isolated lesions

Source

  • Tintinalli
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