Aphthous stomatitis

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

Apthous ulcer of lip
  • 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

Evaluation

  • Clinical diagnosis

Management

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

Disposition

Discharge

See Also

Rash

References