Concluded Case

case of apthous ulcer

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Dada have you seen any vesicle or bulla to at least clinically call it as Aphthous? I think eythematous Lichen planus (Since ulceration is there), Atrophic candidiasis, pemphigus, cicatricial pemphigoid should also be considered; herpes labialis if only lip is involved. I think treatment of the cause is important here. For symptomatic management, Orabase/Mucopain cream (topical anaesthetic) and topical metronidazole should be used. I'd stay away from using topical steroids to alleviate pain until a definite diagnosis is made since it can make situations worse if infections are involved.

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NEED'S.. TREATMENT OF CAUSE.. MULTIVITAMINS ANTIOXIDANTS.. PROBIOTICS.. SYMPTOMATIC T/T.. TOPICALLY.. HEXIDINE.. LIGNOCAINE.. TRIAMCINOLONE..

Tnx &wc Dr Soumya Hazara
0

Dada have you seen any vesicle or bulla to at least clinically call it as Aphthous? I think eythematous Lichen planus (Since ulceration is there), Atrophic candidiasis, pemphigus, cicatricial pemphigoid should also be considered; herpes labialis if only lip is involved. I think treatment of the cause is important here. For symptomatic management, Orabase/Mucopain cream (topical anaesthetic) and topical metronidazole should be used. I'd stay away from using topical steroids to alleviate pain until a definite diagnosis is made since it can make situations worse if infections are involved.

Thank you doctor
1

B.complex capsule bd×3days Amoxicillin 250mg 1bd ×3days Oraflora gel apply Oraflora tablets

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