RT Book, Section
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114870849
T1 Aphthous Ulcer
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114870849
RD 2024/04/20
AB A  5-year-old  girl  is  in  her  pediatrician’s  office  for  her  school  physical  and  immunizations  when  her  mother  asks  about  her  child’s  complaint  of  mouth  pain.  The  girl  is  otherwise  healthy  and  on  physical  examination  a  small  round  ulcer  is  seen  on  the  nonkeratinized  mucosa  above  the  upper  teeth  (Figure  40-1).  The  necrotic  center  with  slightly  raised  borders  and  surrounding  erythema  were  easily  recognized  features  of  an  aphthous  ulcer.  The  pediatrician  reassured  the  mother  that  this  will  go  away  spontaneously  without  medication  or  treatment.  She  suggested  to  avoid  giving  the  child  acidic  or  spicy  foods  in  the  coming  days  and  to  be  careful  to  not  traumatize  the  ulcer  further  with  vigorous  toothbrushing.