Definition: ulceration in mouth (++) or genitals
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Clinical presentation
- Painful ulceration with a depressed necrotic base that is yellowish or grayish in color, an infiltrated base and clear edges surrounded by a bright red inflammatory erythematous halo
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Cause
- Idiopathic
- Enterocolopathiws
- Celical disease
- Crohnâs disease (cobblestone appearance)
- ulcerative colitis
- PFAPA syndrome (periodic Fever, Aphtous stomatities, pharyngitis and cervical adenitis)
- Most autoinflammatory diseases
- Folate, vitamin B12, iron and zinc deficiencies
- Conditions involving a functional abnormality in polynuclear cells (cyclic neutropenia)
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DDx
- Syphilitic chancre
- Traumatic ulceration
- Leukemia
- SLE
Tratamento
- Celestone 0.5mg/ml solução oral
- Sucralfato saqueta - deixar o pĂł na boca, sem engolir
- Fluticasona nebulizado
- Nistatina 10d 5mL 4x/dia 100000UI/mL
- AloclairŸ Plus antes das refeiçÔes Gel nas mais superficiais, Spray nas mais profundas (nos pilares amigdalinos)
- Lidocaine gel