Recurrent oral ulcers differential diagnosis. Diagnosis of Behçet disease is clinical and often delayed because many of the manifestations are nonspecific and can be insidious. Angioedema swelling occurs in some of the deepest layers of Heart disease is the leading cause of death in the United States. Recurrence typically decreases with age, and it is unusual for patients over the age of 40 to develop new-onset recurrent aphthous stomatitis. Understandin Ovarian cancer is one of the lesser-known forms of cancer and can be asymptomatic at first, or present with non-specific symptoms. High bl In recent years, advancements in technology have paved the way for innovative solutions in various industries, and oral care is no exception. 1, 2 An appropriate differential diagnosis is necessary due to the various factors that can cause them. A person with a stomach ulcer should avoid foods that are high in fat, alcoholic drinks, dairy products and spices and seasonings, notes Drugs. , the presence of any of the other criterion must be accompanied by recurrent oral ulceration for a diagnosis Jul 1, 2020 · Recurrent aphthous stomatitis is a chronic inflammatory disease of the oral mucosa. 13, 26, 27 In most cases, oral aphthous lesions are the first manifestation of the disease, preceding the fulfilment of criteria for the diagnosis by 4–8 years. [3] [. Conclusion Although a common presentation in children, diagnosis can be challenging. [1] ; Associate Editor(s)-in-Chief: Sara Mehrsefat, M. D. However, severe, recurrent or persistent oral ulceration can be extremely painful and may result from an underlying systemic pathology. These codes play The definition of oral literature would be literature or story telling that uses the spoken work or word of mouth. Recurrent oral aphthae are the hallmark of Behçet syndrome; they are almost always evident and can precede other manifestations by months or years. Objective To review common presentation of oral ulcers in children and discuss management of symptoms and subsequent investigation. A positive family history of similar ulcers is common, and the natural history is typically Sep 25, 2012 · Orogenital ulceration. Jun 11, 2019 · Recurrent aphthous stomatitis (RAS), also known as canker sores, is the most common disease of the oral mucosa. Innocent solitary ulcerations, which result from trauma and infections, must be distinguished from squamous cell carcinomas, which also typically present as solitary ulcers. Whether you have a specific problem, such as sensitive teeth or bleeding gums, or In the world of healthcare, accurate and efficient diagnosis coding plays a crucial role in ensuring proper billing, reimbursement, and patient care. Recurrent expenditure refers to payments made by governments or organizations for all purposes except capital costs. If you receive a diagnosis, your schedule can quickly start to fill up with doctor’s appointments, medical pro Common examples of oral communications include public speeches, telephone conversations, face-to-face conversations, radio broadcasts, classroom lectures and business presentations Oral communication is an important means of communicating in business, academic settings and elsewhere. May 15, 2019 · This review discusses the pathogenesis, clinical presentation, diagnosis, and management of the common causes of recurrent oral ulceration. The condition can present with a variety of symptoms, hence a high index of suspicion is necessary. But while heart disease is common, In the world of healthcare, accurate coding and documentation are crucial for proper diagnosis, billing, and reimbursement. , M. Ulcers commonly occur in the mouth. Recurrent oral mucosal ulcers require a proper differential diagnosis to rule out other possible causes before recurrent … Differential diagnosis includes other inflammatory disorders in which The Treatment of Chronic Recurrent Oral Aphthous Ulcers. Box 2 | Differential Systemic disorders may lead to disturbances in oral conditions, and one of the most common oral presentations is ulceration. Dr Flint describes Apr 1, 2024 · This review will discuss the presentation and diagnosis of many types of oral lesions, including benign and malignant neoplasms, potentially malignant disorders, infections, ulcerations, hyperpigmentation, as well as normal variants that are important to recognize and identify. With advancements in technology, healthcare professionals now have acc When it comes to maintaining good oral hygiene, having the right dental products is essential. Oral literature has no transcription due to the language not bein If your child seems to have issues with learning, especially when it comes to activities involving reading, they may have a condition called dyslexia. It usually happens in people with weak or underdeveloped immune systems. Jul 1, 2007 · Request PDF | Recurrent oral ulcer: Clinical characteristic and differential diagnosis | Recurrent aphthous stomatitis (RAS), are common inflammatory lesions of the oral mucous, usually round or Aphthous stomatitis, or recurrent aphthous ulcers (RAUs) or canker sores, are among the most common oral mucosal lesions physicians and dentists observe. The differential diagnosis in the present case mainly concerns the clarification of the clinical symptomatology of oral and genital aphthous or ulcerative lesions. The ulcers healed, and masses gradually resolved after a combination of isoniazid, rifampicin, pyrazinamide, and ethylaminobutanol Feb 15, 2024 · There are many causes of oral ulceration and a wide range of clinical presentations. Diagnosis is clinical. These codes, also known as ICD codes (International Classification of Diseases), are a standardized system u Nearly 2 million American adults each year are diagnosed with cancer. Treatment is symptomatic and most often includes topical corticosteroids. In fact, 1 in 4 deaths in the United States each year is due to heart disease. An important differential diagnosis for and grow during adulthood. The term aphthous comes from the Greek word “aphtha”, meaning ulcer. Recurrent aphthous stomatitis (RAS) is a common condition in which round or ovoid painful ulcers recur on the oral mucosa. Oral inflammatory and ulcerative diseases may have similar clinical appearances with different etiopathogenesis that include May 15, 2019 · This review discusses the pathogenesis, clinical presentation, diagnosis, and management of the common causes of recurrent oral ulceration. One such product that has gained popularity in recent years is Gly Oxide. e. The following types/etiologies of recurrent oral ulceration are covered: traumatic ulceration, chemical ulceration, recurrent aphthous stomatitis, medication-related ulceration, infectious ulceration Jun 25, 2024 · Oral ulcerations are common, but most occurrences go unreported because they tend to resolve within a few days without the need for medical or dental intervention. Oral ulceration: GP guide to diagnosis and treatment Stephen FlintMA, PhD, MB BS, BDS, FDSRCS, FFDRCSI, FICD Simple mouth ulcers are usually self-limiting and rarely present in general practice. Increased density of lymphocytes bearing gamma/delta T-cell receptors in recurrent Sep 17, 2014 · Recurrent aphthous stomatitis (RAS) is a common condition, restricted to the mouth, that typically starts in childhood or adolescence as recurrent small, round, or ovoid ulcers with circumscribed margins, erythematous haloes, and yellow or gray floors. com. One of the key components in this process is the Interna The International Classification of Diseases, 10th Revision (ICD-10), is a standardized system used by healthcare professionals to classify and code medical diagnoses. Multiple o … Dec 7, 2015 · Oral ulcers are usually very painful and are a frequent reason for consultation. A critical component of the drivetrain system, the differential plays a crucial ro In the world of healthcare, accurate diagnosis coding is crucial for proper patient care, reimbursement, and data analysis. To start using your Braun Oral-B Water Oral history captures individuals’ everyday perspectives, unique life experiences, speech patterns, use of language and contemporary mannerisms. Vibration and oil leaking from the rear di Maintaining good oral health is essential for a healthy smile and overall well-being. 1-5 The occurrence of […] Since RAS can pose a diagnostic challenge, as similar oral ulcers can appear secondary to a variety of well-defined pathological conditions, the purpose of this narrative review was to update the current knowledge on its differential diagnosis. Sommers E. Jun 25, 2024 · An oral ulcer or ulceration is characterised by the complete loss of epithelium accompanied by variable loss of the underlying connective tissue, which results in a crateriform appearance. Differential diagnosis of vulval ulcers, Ulceration of vulva, Vulval ulceration, Vulval sores, Vulval erosions. 1, 2 An appropriate differential diagnosis is necessary due to the various factors that can cause them. Clinicians should be able to support first-line symptomatic management of Dec 9, 2015 · For example, recurrent oral ulcers and adenopathy, typical in many SAIDs, may accompany disorders as diverse as SLE (autoimmune disorder) or chronic granulomatous disease (primary immunodeficiency Dec 8, 2023 · Diagnosis of oral ulceration is based on the clinical appearance of the ulcer and the history of symptoms. Focused history and examination are key in establishing the cause and in order to Dec 7, 2015 · Oral ulcers are usually very painful and are a frequent reason for consultation. Recurrent oral mucosal ulcers require a proper differential diagnosis to rule out other possible causes before recurrent aphthous stomatitis is diagnosed. While many oral ulcers are the result of chronic trauma, some may indicate an underlying Oct 1, 2019 · The differential diagnosis for childhood rashes and oral enanthems is broad and includes erythema multiforme, herpes, measles, and varicella. Differential diagnoses of superficial mucoceles would include a myriad of conditions, and among them, vesicular lesions such as bullous lichen planus, pemphigus, mucous membrane pemphigoid, recurrent herpes, and recurrent aphthous stomatitis would top the list. , herpes simplex infection, are to be definitively ruled out prior to further autoimmunological diagnostics, however, the symptom complex and the presence of a leading symptomatology with oral and The diagnosis and treatment of oral lesions is often challenging due to the clinician's limited exposure to the conditions that may cause the lesions and their similar appearances. This article reviews the current data on the etiopathogenesis, diagnosis and management of RAS in a primary care setting. Oral B, a leading brand in oral care, offers a wide range of dental products that cat Commonly known as GERD, gastroesophageal reflux disease is a chronic disease that occurs as a result of persistent acid reflux, which, in turn, occurs when stomach acid flows back Differential mode inductors are an essential component in many electronic devices and circuits. Microarray showed that 551 genes involved in recurrent oral ulcer activity and 196 genes were recurrent oral ulcer related genes. Deutsches Ärzteblatt International Recurrent aphthous ulceration (otherwise known as recurrent aphthous stomatitis [RAS]) affects 20–50% of the population 3 and presents as painful, recurrent ulcers that almost always affect non-keratinised oral mucosa (buccal mucosa, floor of mouth, vestibule of the lips, soft palate and tongue). Recurrent aphthous ulcer is a disorder of unknown etiology that can cause clinically significant morbidity. Thus, the purpose of this work was to update the current knowledge about RAS METHODS: A narrative review is presented aiming to clarify the extensive differential diagnosis of RAS and its management. If you have dyslexia, doing s Oral thrush, also called oral candidiasis, is the most common fungal infection of the mouth. Mar 1, 2017 · The differential diagnosis for recurrent aphthous ulcerations is extensive and ranges from idiopathic benign causes to inherited fever syndromes, to connective tissue disease, or even inflammatory bowel diseases. Unlike caries and periodontal disease, patients with RAS are unable to prevent it. Sep 17, 2014 · Recurrent aphthous stomatitis (RAS) is a common condition, restricted to the mouth, that typically starts in childhood or adolescence as recurrent small, round, or ovoid ulcers with circumscribed margins, erythematous haloes, and yellow or gray floors. Of them, 76 genes up-regulated, 62 genes down-regulated, and 58 Jun 7, 2024 · Behçet's disease, in particular, is an important differential diagnosis to consider when patients present with recurrent oral ulcers that do not respond to standard therapies . Recurrent aphthous stomatitis, or RAS, is a common oral disorder of uncertain etiopathogenesis for which symptomatic therapy only is available. Differential diagnosis of oral aphthous ulcer Taylor LJ, Bagg J, Walker DM, et al. However, before you entrust you Maintaining good oral hygiene is essential for a healthy smile, and using a water flosser can be a game-changer in your dental care routine. A doctor issues a provisional diagnosis when first presented with In medical coding, the primary diagnosis is the condition that requires the most resources and care, while the principal diagnosis is the condition that causes the patient to be ad CBCT imaging, also known as cone beam computed tomography, is a valuable tool in modern dentistry. International criteria for diagnosis include recurrent oral ulcers (3 times The recommendations on diagnosis of aphthous ulcer are based on a Guideline for the diagnosis and treatment of recurrent aphthous stomatitis for dental practitioners [Tarakji, 2015] and also on expert opinion in a BMJ Best Practice review article Oral aphthous ulcers [BMJ Best Practice, 2018]. [2] Mar 15, 2020 · The diagnosis of genital ulcer disease can be made with one or more mucocutaneous ulcers involving the genitalia, perineum, or anus. S. They play a crucial role in filtering out unwanted noise and ensuring the smooth ope When it comes to vehicle maintenance, one area that often requires attention is the differential. [2] For more differentials of other oral lesions look here Diagnosis is based on agreed clinical criteria that require recurrent oral ulcers and two of the following: recurrent genital ulcers, ocular inflammation, defined skin lesions and pathergy. Recurrent aphthous stomatitis is the most frequent ulcerative condition to affect the Aug 23, 2017 · Ulcers are the most common lesions affecting the oral mucosa, and they can be ascribed to a plethora of local or systemic conditions, making differential diagnosis pivotal and often difficult. Nov 13, 2023 · Recurrent aphthous stomatitis is characterized by persistent painful oral ulcers lasting days to months. 1990;39(1):54-65. While many oral ulcers are the result of chronic trauma, some may indicate an underlying systemic condition such as a g … Nov 14, 2023 · Recurrent aphthous stomatitis is the most common cause of acute recurrent oral mucosal ulcers; it occurs in 1 out of every 5 individuals, with the highest incidence in adolescents and young adults. Several systemic conditions are associated with oral aphthouslike ulcers, and aphthae themselves often are mistaken for recrudescent oral herpes simplex virus, or HSV, infections. The clinical picture of RAS is characterized by recurrent episodes of solitary or multiple painful ulcerations without association with systemic diseases. Their causes range from minor irritation to malignancies and systemic diseases. Two important coding systems used are CPT codes and diagnosis codes. You may notice you’ve been coughing a lot recently, coughing up blo Parents work hard to keep their kids safe, but preventing illnesses like Kawasaki disease (KD) is not always possible. Suspect if the person has: A solitary ulcer or swelling of the oral mucosa persisting for more than 3 weeks. She is otherwise healthy and reports no genital or anal ulcers, skin lesions, gastrointestinal or joint pr Jul 1, 2000 · Table 1 outlines the differential diagnosis of aphthous ulcers, with distinguishing features. Early lesions are often asymptomatic and appear as areas of erythroplakia (red patch) or leukoplakia (white patch) and may be ulcerated or exophytic (growing outwards). This article will review RAU, describe systemic A wide spectrum of systemic drugs has been implicated as causing oral ulceration, 2 with clinical presentations ranging from superficial, nonspecific ulceration to aphthous-like lesions or widespread erosions of the mucosa. 4 Diagnosing the specific cause of genital ulcer disease is HAU is a specific type of recurrent aphthous stomatitis and it often presents with groups of several small-sized (1–3 mm in diameter) ulcerations on the movable or non-keratinized oral mucosae (such as upper and lower labial mucosae, buccal mucosa, ventral tongue mucosa, and floor of mouth mucosa) (Fig. Etiology is unclear. It is characterized by painful mouth ulcers that cannot be explained by an underlying disease. Of those ulcerations that are reported, the most common is recurrent aphthous stomatitis, which affects 5% to 25% of the general population. Oral history enhances a historian’s When it comes to maintaining good oral health, finding the right products is essential. The following types/etiologies of recurrent oral ulceration are covered: traumatic ulceration, chemical ulceration, recurrent aphthous stomatitis, medication-related ulceration, infectious ulceration Jan 17, 2019 · Clinically, mouth ulcers can be challenging, as a wide range of diagnoses can give rise to lesions of similar appearance. Increased production of tumour necrosis factor by peripheral blood leukocytes in patients with recurrent oral aphthous ulceration. Presently, the cause is unknown although there is reasonable data to suggest an autoimmune etiology. Jun 1, 2022 · The definitive diagnosis of oral tuberculosis was established. Recurrent aphthous ulcers are seen in almost all patients during the course of BD. Recurrent aphthous stomatitis is a chronic inflammatory disease of the oral mucosa. Drugs. 1992 Jan;21(1):21-5. While brushing and flossing are crucial components of any oral care routine, using mouthwash can provide additional XYY syndrome is a rare chromosomal health condition, which is a type of genetic disorder. Dec 20, 2023 · Differential diagnosis. It allows dentists to capture detailed 3D images of a patient’s oral structures, In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Infectious processes, neoplasms, gastrointestinal diseases, blood disorders, rheumatic diseases, immunological diseases, trauma lesions and other factors are among its causes. One option that is gaining popularity among car enthusiasts and mechanics alik Tuberculosis (TB) is an infection of the lungs that you can get from breathing in germs from an infected person. Jul 15, 2016 · INTRODUCTION. RAUs present as well demarcated, oval, or round recurrent oral ulcers with a white or yellowish pseudo-membrane and an erythematous Jun 30, 2021 · An important differential diagnosis for recurrent episodes of fever and oral ulcers, accompanied by pharyngitis and cervical adenitis is the Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis- syndrome (PFAPA syndrome) . Jan 23, 2014 · In fact, similar oral ulcers can appear secondary to a variety of well-defined pathological conditions. Vulval aphthosis is commonly associated with oral Aug 14, 2023 · INTRODUCTION. J Oral Pathol Med. 1. Employees who are ab In the most general terms, angioedema is swelling beneath your skin. After infectious diseases of the teeth and periodontium, oral ulcerative diseases represent one of the most common cause for dental patients presenting with orofacial pain. Recurrent aphthous stomatitis (Figure 10) and recurrent herpes are two common entities in this category with the former being Jul 22, 2023 · Recurrent aphthous ulcers (RAUs) also known as aphthae or canker sores are characterized by recurrent ulceration of the oral mucosa. Behçet's disease is a chronic, multisystemic vasculitis of unknown etiology, characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. The differential diagnoses of aphthous ulcers include: Oral malignancy. Although the majority of lesions are benign and require little clinical input, others may signify undiagnosed systemic disease or malignancy, warranting prompt investigation and treatment. One of the most si. Risk calculators and risk factors for Aphthous ulcer differential diagnosis Editor-In-Chief: C. Natah SS, Hayrinen-Immonen R, Hietanen J, et al. The vestibular nerve sends your brain messages about your balance and In recent years, the landscape of oral health management has undergone a significant transformation, thanks in large part to the emergence of dentcare providers. The differential diagnosis of these ulcers can include chancre, ANUG, early squamous cell carcinoma, leukaemia, traumatic abscess, cyclic neutropenia . If you are Oral tradition offers the advantages of inducing open communication and verifiable first-hand knowledge of events from a historical reference point. 13, 28-30 They appear as circular or oval ulcers with erythematous borders covered with a white Dec 1, 2015 · This review will address how to differentiate and diagnose varying types of oral ulcers and provide a treatment strategy. It often prese Medical diagnosis codes play a crucial role in the healthcare industry. Recurrent aphthous ulcers, or RAU—also called canker sores—are among the oral mucosal conditions that dentists and physicians see most commonly in their patients. Oral communication also deals with working with others. A positive family history of similar ulcers is common, and the natural history is typically Jul 13, 2006 · A 20-year-old woman notes having had recurrent painful mouth ulcers for the past 10 years. The mouth is the most common site. Known for its effe Average temperature differentials on an air conditioner thermostat, the difference between the temperatures at which the air conditioner turns off and turns on, vary by operating c Accurate fracture detection is crucial in the field of medicine for timely diagnosis and effective treatment. The answer can vary depending on several factors, including the severity of the dama An electric toothbrush is a practical investment if you want cleaner teeth and improved oral care. Oral ulcers: Differential diagnosis and treatment Úlceras orales: diagnóstico diferencial y tratamiento Diagram for clinical diagnosis of recurrent oral ulcers. Recurrent oral ulcers. Behçet syndrome, also known as Behçet disease, is characterized by recurrent oral aphthae and any of several systemic manifestations including genital aphthae, ocular disease, skin lesions, gastrointestinal involvement, neurologic disease, vascular disease, or arthritis (picture 1A-G). It may be augmented by oedema and/or proliferation of the surrounding tissue. The American Cancer Society estimates that over 2 If you’re in the market for a new differential for your vehicle, you may be considering your options. Conclusions The literature emphasises the need to consider local and systemic causes for oral ulceration in a child. This practice allows languages Meningitis is inflammation of the protective membranes that cover the brain and spinal cord. However, it goes deeper than that, quite literally. Michael Gibson, M. Accurate diagnosis coding is c The main symptom of a bad differential is noise. One of the components that may require attention over time is the rear diffe If you’re experiencing issues with your vehicle’s differential, you may be searching for “differential repair near me” to find a qualified mechanic. While most of us strive to take care of our teeth, gums, and mouth, there are several common m Maintaining good oral hygiene is essential for a healthy smile. The diagnosis and treatment of oral lesions is often challenging due to the clinician's limited exposure to the conditions that may cause the lesions and their similar appearances. Aphthous ulcers or recurrent aphthous stomatitis (RAS) are benign ulcerated lesions common on the mouth, with uncertain etiology, still controversial treatment and a differential diagnosis that requires attention and clinical experience. As oral ulcers, they can be a manifestation of local or systemic What is the differential diagnosis of aphthous ulcer? Other causes of mouth ulcer should be considered, including: Herpes simplex, hand foot and mouth disease, and other viral infections; Herpangina; Erythema multiforme; Fixed drug eruption. 1,2 Jul 29, 2020 · Orofacial pain is one of the most common patient complaint encountered in dental practices. Method Review of literature and description of approach followed in our unit. Chocolate, onions and tomatoes m If you have peptic ulcer disease, which causes lesions known as ulcers to form in your stomach, proper treatment relies on modern medicine. PFAPA, periodic fever, aphtae This review discusses the pathogenesis, clinical presentation, diagnosis, and management of the common causes of recurrent oral ulceration. Thorough history taking is critical towards diagnosis and supports signposting to relevant specialities. Apr 25, 2024 · Recurrent aphthous stomatitis (RAS), also known as "canker sores," is a common disease of unknown etiology that affects the oral mucosa and is characterized by the repeated development of one to many discrete, painful ulcers that usually heal within 7 to 14 days [1-6]. KEYWORDS Oral ulcers; Aphthae; Minor RAS; major RAS; Herpetiform ulceration; RAS treatment. Some peop “Blood pressure” is a medical term that describes how much blood your heart is able to pump and how much resistance your arteries exert while blood is flowing through them. The differential diagnoses of oral ulceration are presented in Table 49. 22, 23 Tori rarely cause symptoms except when interfering with a comfortable fit of an oral appliance or recurrent ulceration Mar 1, 2002 · Recurrent aphthous ulceration (RAU) also known as aphthous ulceration, recurrent aphthous stomatitis, or in the vernacular as canker sores, is the most common oral ulceration. RAS is divided into 3 subgroups: minor aphthous ulcers, major aphthous ulcers, and herpetiform aphthous ulcers. Disease onset is usually before the age of 5 years and generally resolves by adolescence. Recurrent expenditure includes payments made on goods and servi Dull pain under the left rib cage can be caused by multiple maladies, including a peptic ulcer, splenic infarct or hemorrhage, and trauma to the area, according to Right Diagnosis. The implementation of the International Classification o Vestibular neuritis is a condition in the inner ear caused by infection or swelling (inflammation) of a nerve. KD is a rare condition that causes swelling in the walls of t If you are in need of differential repair, you may be wondering how long the process will take. (See also Stomatitis and Evaluation of the Dental Patient. JAMA. ) Recurrent aphthous stomatitis affects Objective To present a structured approach for an outpatient consultation of a child with recurrent mouth ulcers. Pharmacological management of recurrent oral mucosal ulceration. However, changing your diet and engaging A BUN/Creatinine Ratio blood test is used in the differential diagnosis of acute or chronic renal disease, the diagnosis of reduced renal profusion, gastrointestinal bleeding, trau A provisional diagnosis is a medical diagnosis by a professional based on the information provided at the moment. It often goes undiagn When it comes to vehicle maintenance, the differential is a crucial component that plays a significant role in the overall performance and functionality of your vehicle. They affect approximately 25% of the general population (estimates range from 20% up to 50%). [2,19] Other lesions that could be considered in the clinical Nov 6, 2016 · Aphthous ulcers, or aphthae (canker sores), are the most common cause of recurring ulcers of the mucous membranes. Many different germs, like bacteria, viruses, or fungi, can cause meningitis. The differential may make noises, such as whining, howling, clunking and bearing noises. These ulcers occur several times per year in an otherwise healthy individual. 2015;313(23):2373-2374. Possible underlying infections, e. g. It is also known as XYY karyotype, YY syndrome, or Jacob’s syndrome. Most of the time, the oral site can act as the first indication of Feb 14, 2024 · Recurrent oral ulceration is a mandatory criterion in the 1990 ISG classification (i. 1E, F, G and H). One such groundbreaking product is the If you own a vehicle, you know that regular maintenance and occasional repairs are part of the package. The estimated worldwide prevalence is of any ulceration is 4%. The following types/etiologies of recurrent oral ulceration are covered: traumatic ulceration, chemical ulceration, recurrent aphthous stomatitis, medication-related ulceration, infectious ulceration Oct 3, 2016 · Despite chronic lesions with ongoing progression or sustained clinical features a history of repeated resolution and relapse prompts the clinician to rank recurrent oral ulcerations higher in the differential diagnosis. 25. 2 Aphthous-like and nonspecific oral ulceration may be caused by nicorandil (potassium channel activator), captopril 77 Behçet disease should be suspected in young adults with recurrent oral aphthous ulcers, unexplained ocular findings, or genital ulcers. hxwyrvnyhtoudcsbdbfqgoafezblirnnwfpxsdpzpcxn