Recurrent Aphthous Ulcers

Question 1

What are recurrent aphthous ulcers?

Answer 1

Recurrent painful round or ovoid with inflammatory halos

Question 2

Who gets recurrent aphthous ulcers?

Answer 2

More common in females and non-smokers
Nutrient deficiency
Crohn’s disease can be a secondary cause

Question 3

How are recurrent aphthous ulcers diagnosed?

Answer 3

-History taking and oral examination
-Minor aphthous ulcers= most common, <10mm diameter
Major aphthous ulcers= >10mm diameter

Question 4

Describe a minor aphthous ulcer?

Answer 4

<10mm diameter
Grey/white centre with erythematous halo
Heal within 14 days without scarring
Rarely affect dorsum of tongue or hard palate

Question 5

Describe major aphthous ulcer?

Answer 5

> 10mm diameter
Persists for weeks and months without healing
Heal with scarring

Question 6

How to treat recurrent aphthous ulcers?

Answer 6

Oral trauma should be avoided as well as acidic foods/drinks which cause pain
Topical or systemic corticosteroids can lessen severity and duration of attacks