TY - CHAP M1 - Book, Section TI - Chapter 41. Aphthous Ulcer A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e AB - A 58-year-old man presents with a 1-year history of painful sores in his mouth. (Figures 41-1, 41-2, 41-3, and 41-4). 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, gums, 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 with giant 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 - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=57672692 ER -