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Mouth Ulcers



    • Look For

    • Ulcers in the mouth, noting their number, size, colour and distribution.
    • Significance

    • May be an indicator of leukaemia or bacterial infection secondary to agranulocytosis.
    • Causes of Mouth Ulcers

    • Trauma - mechanical / chemical / radiation
    • Aphthous stomatitis
    • Dermatoses - pemphigus, lichen planus, erythema multiforme
    • Infection - herpes simplex (cold sore), varicella zoster, coxsackie (hand, foot and mouth), syphilis, bacterial, candidiasis
    • Rheumatological - SLE, Reiter’s syndrome
    • GIT - Crohn’s, coeliac disease
    • Drugs - antineoplastics
    • Malignancy - especially leukaemia
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