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Multiple Painful Oral Ulcerations

Multiple Painful Oral Ulcerations Abstract REPORT OF A CASE A 38-year-old woman presented with a 3-month history of painful sores in her mouth. These started on her inner lip and progressed to involve many areas of the oral mucosa, including the tongue. She did not recall any previous blisters and had no nasal, conjunctival, genital, or anal lesions. She reported no prior rash or mucous membrane lesions and denied any medical problems, medicinal intake, or risk factors for human immunodeficiency virus (HIV). No constitutional symptoms were reported.There were many 0.5- to 1.5-cm circular, indurated, hypertrophic, exquisitely tender, superficially ulcerated lesions with white pseudomembranes scattered throughout her oral mucosa and they were especially prominent on her labial and buccal mucosa (Figure 1). Lesions were also seen on her tongue and tonsillar fossae (Figure 2). There was no lymphadenopathy. Her physical examination was otherwise unremarkable. An incisional biopsy specimen was taken from a lesion on the References 1. Mandell GL, Douglas RG, Bennett JE. Principles and Practice of Infectious Diseases . 3rd ed. New York, NY: Churchill Livingstone Inc; 1990;1795. 2. Mani NJ. Secondary syphilis initially diagnosed from oral lesions . Oral Surg. 1984;58:47-50.Crossref 3. Shimizu T, Shinogi J, Majima Y, Sakakura Y. Secondary syphilis of the tonsil . Arch Otorhinolaryngol. 1989;246:117-120.Crossref 4. Fiumara NJ, Grande DJ, Giunta JL. Papular secondary syphilis of the tongue . Oral Surg. 1978;45:540-542.Crossref 5. Manton SL, Egglestone SI, Alexander I, et al. Oral presentation of secondary syphilis . Br Dent J. 1986;160:237-238.Crossref 6. Shklar G. Oral reflections of infectious diseases . Postgrad Med. 1971;68:147-152. 7. Lever WF, Schaumburg-Lever G. Histopathology of the Skin. 7th ed. Philadelphia, Pa: JB Lippincott; 1990:354-356. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Multiple Painful Oral Ulcerations

Archives of Dermatology , Volume 131 (7) – Jul 1, 1995

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1995.01690190087017
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 38-year-old woman presented with a 3-month history of painful sores in her mouth. These started on her inner lip and progressed to involve many areas of the oral mucosa, including the tongue. She did not recall any previous blisters and had no nasal, conjunctival, genital, or anal lesions. She reported no prior rash or mucous membrane lesions and denied any medical problems, medicinal intake, or risk factors for human immunodeficiency virus (HIV). No constitutional symptoms were reported.There were many 0.5- to 1.5-cm circular, indurated, hypertrophic, exquisitely tender, superficially ulcerated lesions with white pseudomembranes scattered throughout her oral mucosa and they were especially prominent on her labial and buccal mucosa (Figure 1). Lesions were also seen on her tongue and tonsillar fossae (Figure 2). There was no lymphadenopathy. Her physical examination was otherwise unremarkable. An incisional biopsy specimen was taken from a lesion on the References 1. Mandell GL, Douglas RG, Bennett JE. Principles and Practice of Infectious Diseases . 3rd ed. New York, NY: Churchill Livingstone Inc; 1990;1795. 2. Mani NJ. Secondary syphilis initially diagnosed from oral lesions . Oral Surg. 1984;58:47-50.Crossref 3. Shimizu T, Shinogi J, Majima Y, Sakakura Y. Secondary syphilis of the tonsil . Arch Otorhinolaryngol. 1989;246:117-120.Crossref 4. Fiumara NJ, Grande DJ, Giunta JL. Papular secondary syphilis of the tongue . Oral Surg. 1978;45:540-542.Crossref 5. Manton SL, Egglestone SI, Alexander I, et al. Oral presentation of secondary syphilis . Br Dent J. 1986;160:237-238.Crossref 6. Shklar G. Oral reflections of infectious diseases . Postgrad Med. 1971;68:147-152. 7. Lever WF, Schaumburg-Lever G. Histopathology of the Skin. 7th ed. Philadelphia, Pa: JB Lippincott; 1990:354-356.

Journal

Archives of DermatologyAmerican Medical Association

Published: Jul 1, 1995

References