TY - CHAP M1 - Book, Section TI - Aphthous Ulcer A1 - Usatine, Richard P. A1 - Gonsalves, Wanda C. A1 - Díaz, David Ojeda A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 58-year-old man presents with a 1-year history of painful sores in his mouth (Figures 43-1, 43-2, 43-3, 43-4). He has lost 20 pounds over the past year because it hurts to eat. The ulcers come and go, but are found on his tongue, buccal mucosa, and inner lips. Prior to the onset of these lesions, the patient had been in good health and was not on any medications. The physician recognized his condition as recurrent aphthous ulcers. No underlying systemic diseases were found on work-up. The patient was started on oral prednisone and given dexamethasone oral elixir to swish and swallow. Within 1 week the patient was able to eat and drink liquids comfortably and began regaining his lost weight. Long-term management of his problem required the use of other medications so as to successfully taper him off prednisone without recurrences. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164344795 ER -