Aphthous ulcersBMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b2382 (Published 24 July 2009) Cite this as: BMJ 2009;339:b2382
- Erik W M A Bischoff, general practitioner ,
- Annemarie Uijen, general practitioner ,
- Mark van der Wel, general practitioner
- 1Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
- Correspondence to: E Bischoff
- Accepted 21 May 2008
A 25 year old man presents with oral ulcerations that cause him great discomfort. He explains that these ulcers recurred several times last year, but that the current presentation is far more painful. He asks for your advice on treatment and prevention of these burning sores.
What issues you should cover
Aphthous ulcers⇓ (aphthae or canker sores) are painful solitary or multiple erosions of the oral mucous membrane. Aphthous ulcer is the most common condition of the oral mucosa in developed countries, affecting around 20% of the general population, mostly young adults. Diagnosis is based on history and examination (see box).
Differentiation of aphthous ulcers from other oral diseases
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