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Stomatitis

Karlynn Sievers, MD and Lyrad K Riley, MD, MPH Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Inflammation of the mucous lining of any of the structures in the mouth (cheeks, lip, tongue, gingiva, and floor or palate). Usually painful and associated with redness, swelling, an...

DIAGNOSIS

HISTORY

  • Complaints of pain, burning sensation, intolerance to temperature extremes, and irritation with certain foods

  • Determine the onset, progression, number of ulcers/lesions, size of lesion...

TREATMENT

  • To date, no strong evidence for broadly applicable efficacy of a single treatment. This likely reflects the many causes of stomatitis as well as poor methodologic rigor of trials and lack of...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Biopsy lesions that fail to resolve, continuously recur, or appear suspicious 

DIET

Avoid spicy, acidic, and sharp foods. Keep hydrated. 

PATIENT EDUCATION

REFERENCES

1
Heliotis I, Whatling R, Desai S, et al. Primary herpetic gingivostomatitis in children. BMJ. 2021;375:e065540. doi: 10.1136/bmj-2021-065540
2
Patel P, Robinson PD, Baggott C, et al. Clinical...

CODES

ICD10

  • K12.1 Other forms of stomatitis

  • B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis

  • B08.4 Enteroviral vesicular stomatitis with exanthem

  • K12.0 Recurrent oral aphthae

  • B08.5 Enteroviral v...

CLINICAL PEARLS

  • Stomatitis is often self-limiting and requires only pain relief treatment and supportive care.

  • Consider broad differential diagnosis.

  • Identify, treat all underlying conditions.

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