Oral lesions: Difference between revisions
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===Medical Therapy=== | ===Medical Therapy=== | ||
==== Acute Pharmacotherapies==== | ==== Acute Pharmacotherapies==== | ||
*Orabase and topical | *Orabase and topical [[steroid]]s can increase speed of healing | ||
*Aphthous stomatitis - intralesional triamcinalone injections | *[[Aphthous stomatitis]] - intralesional [[triamcinalone]] injections | ||
*HSV (recurrent) - acyclovir | *HSV (recurrent) - [[acyclovir]] | ||
*Bollous disease - | *Bollous disease - [[corticosteroid]]s | ||
== References == | == References == | ||
Revision as of 16:06, 6 May 2013
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
In many cases, mouth sores are attributed to herpes simplex virus and idiopathic aphthous stomatitis. Oral lesions can be indicative of a more serious underlying condition. A full review of the systems and a full skin exam are necessary to obtain an accurate diagnosis.
Causes
Causes in Alphabetical Order[1][2]
- Agranulocytosis
- Aphthous stomatitis
- Allergic contact dermatitis
- Behcet's disease
- Bollus disease
- Chemotherapy drugs
- Erythema multiforme
- Herpes stomatitis
- Histoplasmosis
- Primary syphilis
- Self limited viral disease
- Squamous cell carcinoma
Diagnosis
History and Symptoms
- Past medical/medicinal history
- If the lesions occur in the same locations every time, culpit is HSV
- Consider the patients sexual history
- Evaluate open and mucosal lesions
- Lichen planus - lacy white plaques
Laboratory Findings
- Culture for HSV-1
- RPR
- CBC
- Punch biopsy
Treatment
Medical Therapy
Acute Pharmacotherapies
- Orabase and topical steroids can increase speed of healing
- Aphthous stomatitis - intralesional triamcinalone injections
- HSV (recurrent) - acyclovir
- Bollous disease - corticosteroids