RT Book, Section
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.
SR Print(0)
ID 1164344795
T1 Aphthous Ulcer
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164344795
RD 2024/04/19
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.