This site is intended for healthcare professionals only

Oral lesions, in images

Written by: | Published:

Aphthous ulcers

These are painful, single or multiple shallow ulcers that may be round or ovoid. They may begin in childhood and be a recurrent problem for some people. They may be caused by a number of different factors, including local trauma, stress, certain foods, such as cheese, strawberries, peanuts, chocolate or tomatoes, or hormonal changes related to the menses. They may be classed as minor if they are small lesions (2-8mm) that heal within 10 to 14 days. They are classed as major if greater than 1cm, they leave a scar and take several weeks to heal. Herpetiform ulcers, as seen here, are multiple ulcers that fuse to form larger ulcers. Although so named they are not caused by infection and usually heal within two weeks. Management involves avoiding precipitating causes; an antimicrobial mouthwash such as chlorhexidine; a course of a low-potency topical steroid, such as hydrocortisome oromucosal tablets, dissolved next to the ulcer(s); beclometasone inhaler sprayed twice daily onto the oral mucosa; and/or a local analgesic, such as lidocaine 5% ointment or benzydamine mouthwash or spray.

Oral ulcers associated with systemic disease


Please login or register to read the rest of the article and to have access to downloads and comments.


What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.