{"id":1184,"date":"2023-01-08T00:09:29","date_gmt":"2023-01-08T05:09:29","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/?post_type=chapter&#038;p=1184"},"modified":"2023-01-08T01:30:18","modified_gmt":"2023-01-08T06:30:18","slug":"aphthous-stomatitis","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/chapter\/aphthous-stomatitis\/","title":{"raw":"Aphthous Stomatitis","rendered":"Aphthous Stomatitis"},"content":{"raw":"<div style=\"font-weight: 400\">\r\n\r\nAphthous stomatitis or aphthous ulcers (also called canker sores) are a common occurrence in the general population and usually first appear in childhood or adolescence. Aphthous ulcers are well demarcated, round or oval, superficial ulcers with a white to yellow base and surrounding erythema. Triggers include stress, lack of sleep, trauma, irritation from food or toothpaste, or viral infection. A family history of aphthous ulcers may exist in those who experience recurrent lesions. Most aphthous ulcers heal within 1-2 weeks without any treatment. However, they are often painful and patients may benefit from protective pastes, with or without a corticosteroid, or topical anesthetics. Patients should also avoid any known triggers.\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div style=\"font-weight: 400\">\r\n\r\nThe differential diagnosis of an oral ulcer should include a herpes simplex infection, erythema multiforme, oral lichen planus, and Beh\u00e7et disease. The manifestations of herpes simplex and erythema multiforme are discussed in the Infections &amp; Infestations and Inflammatory Skin Conditions sections respectively.\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n\r\n[caption id=\"attachment_1200\" align=\"aligncenter\" width=\"300\"]<img class=\"size-medium wp-image-1200\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-300x181.png\" alt=\"\" width=\"300\" height=\"181\" \/> Image 15.5: Oral aphthous ulcers with white center and erythematous rim on mucosal surface[\/caption]","rendered":"<div style=\"font-weight: 400\">\n<p>Aphthous stomatitis or aphthous ulcers (also called canker sores) are a common occurrence in the general population and usually first appear in childhood or adolescence. Aphthous ulcers are well demarcated, round or oval, superficial ulcers with a white to yellow base and surrounding erythema. Triggers include stress, lack of sleep, trauma, irritation from food or toothpaste, or viral infection. A family history of aphthous ulcers may exist in those who experience recurrent lesions. Most aphthous ulcers heal within 1-2 weeks without any treatment. However, they are often painful and patients may benefit from protective pastes, with or without a corticosteroid, or topical anesthetics. Patients should also avoid any known triggers.<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>&nbsp;<\/p>\n<\/div>\n<div style=\"font-weight: 400\">\n<p>The differential diagnosis of an oral ulcer should include a herpes simplex infection, erythema multiforme, oral lichen planus, and Beh\u00e7et disease. The manifestations of herpes simplex and erythema multiforme are discussed in the Infections &amp; Infestations and Inflammatory Skin Conditions sections respectively.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<figure id=\"attachment_1200\" aria-describedby=\"caption-attachment-1200\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1200\" src=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-300x181.png\" alt=\"\" width=\"300\" height=\"181\" srcset=\"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-300x181.png 300w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-65x39.png 65w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-225x136.png 225w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM-350x211.png 350w, https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-content\/uploads\/sites\/1779\/2023\/01\/Screen-Shot-2023-01-07-at-10.17.00-PM.png 704w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1200\" class=\"wp-caption-text\">Image 15.5: Oral aphthous ulcers with white center and erythematous rim on mucosal surface<\/figcaption><\/figure>\n","protected":false},"author":1682,"menu_order":7,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-1184","chapter","type-chapter","status-publish","hentry"],"part":1170,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/users\/1682"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1184\/revisions"}],"predecessor-version":[{"id":1207,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1184\/revisions\/1207"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/parts\/1170"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapters\/1184\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/media?parent=1184"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/pressbooks\/v2\/chapter-type?post=1184"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/contributor?post=1184"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pedsdermprimer\/wp-json\/wp\/v2\/license?post=1184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}