Skip to main content

Ulcer, Aphthous

Cynthia Ohata, MD and Chisalu Nchekwube, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Self-limited, painful ulcerations of the nonkeratinized oral mucosa, which are often recurrent (1)

  • Synonyms: canker sores; aphthae; aphthous stomatitis

  • Comes from aphth meaning “ulcer”...

DIAGNOSIS

Diagnosis is made by history and clinical presentation. Lab work can help identify underlying illness (2)[A]. 

HISTORY

  • May experience prodrome of burning sensation of oral mucosa 2 to 48 hours...

TREATMENT

GENERAL MEASURES

  • Management is symptomatic. Goal is to reduce inflammation and relieve pain.

  • Avoid potentially irritating food or drink:

    • Spicy, acidic, hot

    • Carbonated beverages

    • Abrasive/hard fo...

REFERENCES

1
Cui RZ, Bruce AJ, Rogers RSIII. Recurrent aphthous stomatitis. Clin Dermatol.  2016;34(4):475–481. [View Abstract on OvidMedline]
2
Belenguer-Guallar I, Jiménez-Soriano Y, Claramunt-Lo...

ADDITIONAL READING

Huppert JS, Gerber MA, Deitch HR, et al. Vulvar ulcers in young females: a manifestation of aphthosis. J Pediatr Adolesc Gynecol.  2006;19(3):195–204. [View Abstract on OvidMe...

CODES

ICD10

K12.0 Recurrent oral aphthae 

ICD9

528.2 Oral aphthae 

SNOMED

  • 426965005 aphthous ulcer of mouth (disorder)

  • 307772002 Minor oral aphthous ulceration (disorder)

  • 196531008 Major aphthous ulceration ...

CLINICAL PEARLS

  • Aphthous ulcers are the most common chronic disease of the oral cavity.

  • Most cases are mild, self-limited episodes.

  • Appropriate treatment should be aimed at symptom control and promotion...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×