When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Recurrent aphthous stomatitis (episodic mouth ulcers)

Последний просмотренный: 13 Sep 2025
Last updated: 09 Aug 2022

Резюме

Определение

História e exame físico

Principais fatores diagnósticos

  • oral ulcers
  • afebrile
  • absence of genital or ocular ulceration
  • no history of immunodeficiency
  • absence of pallor
Detalhes completos

Fatores de risco

  • positive family history
  • nonsmoker or cessation of smoking
  • trauma
  • age <30 years
  • cows' milk-fed children
  • female sex
  • high stress levels
  • food intolerance
  • hormonal imbalance
  • use of sodium lauryl sulfate-containing toothpaste
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • CBC
  • serum ferritin
  • serum folate
  • serum vitamin B12
  • serum IgA-tTG
  • viral serology (e.g. HIV or Epstein-Barr virus)
  • erythrocyte sedimentation rate and CRP
  • biopsy
  • antinuclear antibody test
  • serum HIV test
Detalhes completos

Algoritmo de tratamento

AGUDA

all patients

Colaboradores

Authors

Jennifer Taylor, BDS, MFDS RCS, MBChB FDS (OM), PhD

Consultant and Honorary Senior Lecturer in Oral Medicine

Glasgow Dental Hospital and School

Glasgow

Scotland

UK

Disclosures

JT declares that she has no competing interests.

Acknowledgements

We would like to gratefully acknowledge the late Professor Crispian Scully for his contribution to this topic.

Peer reviewers

James J. Sciubba, DMD, PhD

Consultant for Oral Pathology and Oral Medicine

The Milton J. Dance Head and Neck Center

Greater Baltimore Medical Center

Baltimore

MD

Disclosures

JJS declares that he has no competing interests.

Pepe Shirlaw, BDS, FDS RCPS

Consultant in Oral Medicine

Guy’s Hospital

Great Maze Pond

London

UK

Disclosures

PS declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Scully C. Clinical practice. Aphthous ulceration. N Engl J Med. 2006 Jul 13;355(2):165-72. Abstract

Scully C, Gorsky M, Lozada-Nur F. The diagnosis and management of recurrent aphthous stomatitis: a consensus approach. J Am Dent Assoc. 2003 Feb;134(2):200-7. Abstract

Brocklehurst P, Tickle M, Glenny AM, et al. Systemic interventions for recurrent aphthous stomatitis (mouth ulcers). Cochrane Database Syst Rev. 2012 Sep 12;(9):CD005411.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Recurrent aphthous stomatitis (episodic mouth ulcers) images
  • Differentials

    • Behcet syndrome
    • Malignant ulcer
    • Folate deficiency
    More Differentials
  • Diretrizes

    • The diagnosis and management of recurrent aphthous stomatitis: a consensus approach
    More Diretrizes
  • Folhetos informativos para os pacientes

    Canker sores

    Mais Folhetos informativos para os pacientes
  • padlock-lockedConectar-se ou assinar para acessar todo o BMJ Best Practice

O uso deste conteúdo está sujeito ao nosso aviso legal