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Image Number 1312 (Major aphthous ulcer)


Diagnosis: Major aphthous ulcer

Site: Mouth

Sex: M

Age: 13


Description: Recurrent well-circumscribed ulcers.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Recurrent aphthous stomatitis (RAS) is characterized by recurring episodes of ulcers, typically from childhood or adolescence, each lasting from 1 to about 4 weeks before healing. Aphthae typically are multiple round or ovoid ulcers with a circumscribed margin, erythematous halo and a yellow or grey floor. Three clinical types of RAS are usually seen; Minor aphthous ulcers, Major aphthous ulcers (Sutton’s ulcers) and Herpetiform ulcers. This adolescent boy had two painful major aphthous ulcers involved the mobile non-keratinized mucosa of the lower lip of one week duration. He had no systemic disease or other underlying condition.

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