Commonly referred to as “canker sores”
Etiology likely multifactorial with ...
Minor aphthous ulcers:
70–90% of all aphthae
<5 mm in diameter; up to 5 appear at a time
Painful, shallow ulcers with necrotic centers
Raised, circumscribed margins and eryt...
Treatment guided by severity and duration of symptoms
Goal is for symptomatic pain relief and reduction of inflammation.
Mild to moderate disease:
Avoid oral tr...
Unable to eat or drink after appropriate analgesia
Abnormal vital signs or evidence of dehydration
The vast majority of aphthous ulcers are benign, self-limited, and treated symptomatically
ED physicians must consider underlying systemic cause of ulcers.
Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am. 2005;49:31–47.
Brocklehurst P, Tickle M, Glenny AM, et al. Systemic interventions for recurre...
528.2 Oral aphthae
608.89 Other specified disorders of male genital organs
616.50 Ulceration of vulva, unspecified
K12.0 Recurrent oral aphthae
N50.8 Other specified disorders of male genit...
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