Summary
Differentials
Common
- Inadvertent trauma
- Lichen planus
- Contact stomatitis
- Recurrent aphthous stomatitis
- Intraoral dental sinus (parulis)
- Herpes simplex virus (HSV) infection
- Herpangina
- Hand-foot-and-mouth disease
Uncommon
- Iatrogenic trauma (medical or dental procedure)
- Self-inflicted trauma
- Iron deficiency anemia
- Folate deficiency
- Vitamin B12 deficiency
- Vitamin C deficiency
- Pemphigus
- Mucous membrane pemphigoid
- Linear IgA bullous dermatosis
- Epidermolysis bullosa acquisita
- Oral lichenoid reaction
- Chemicals/medications
- Erythema multiforme
- Stevens-Johnson syndrome and toxic epidermal necrolysis
- Necrotizing sialometaplasia
- Behcet disease
- Periodic fever syndromes
- Reactive arthritis (Reiter syndrome)
- Lupus erythematosus
- Giant cell arteritis
- Granulomatosis with polyangiitis (formerly known as Wegener granulomatosis)
- Graft-versus-host disease
- Necrotizing ulcerative gingivitis
- Syphilis
- Gonorrhea
- Tuberculosis
- Varicella-zoster virus (VZV) infection
- Cytomegalovirus infection
- Zygomycosis
- Aspergillosis
- Histoplasmosis
- Blastomycosis
- Paracoccidioidomycosis
- Infectious mononucleosis
- Squamous cell carcinoma
- Malignant salivary gland tumors (mucoepidermoid carcinoma and adenoid cystic carcinoma)
- Non-Hodgkin lymphoma
- Kaposi sarcoma
- Oral melanoma
- Antiresorptive agent-induced osteonecrosis of the jaw (ARONJ)
- Chronic ulcerative stomatitis
Contributors
Authors
Michaell A. Huber, DDS
Professor
Oral Medicine Subject Expert
Department of Comprehensive Dentistry
UTHSCSA School of Dentistry
San Antonio
TX
Disclosures
MAH is an author of a number of references cited in this topic. He lectures extensively on oral medicine-related topics. He has prepared online CE courses for DentalCare.com and online Quality Resource Guide CE courses for Metlife Insurance Company. MAH is a Consultant member of the Dentalcare.com Advisory Board for Proctor and Gamble.
Peer reviewers
Stephen Porter, PhD, MD, FDS RCS, FDS RCSE
Academic Head
Oral Medicine and Special Needs Dentistry Unit
Division of Maxillofacial Diagnostic, Medical and Surgical Sciences
UCL Eastman Dental Institute
Professor of Oral Medicine
University of London
London
UK
Disclosures
SP declares that he has no competing interests.
Nathaniel Treister, DMD, DMSc
Oral Medicine Attending & Associate Surgeon
Division of Oral Medicine and Dentistry
Brigham and Women's Hospital
Assistant Professor
Department of Oral Medicine, Infection and Immunity
Harvard School of Dental Medicine
Boston
MA
Disclosures
NT declares that he has no competing interests.
Angela Chi, DMD
Associate Professor
Division of Oral Pathology
College of Dental Medicine
Medical University of South Carolina
Charleston
SC
Disclosures
AC declares that she has no competing interests.
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