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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
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Mouth Diseases |
Oral blisters02/24/2000 |
my husband gets these sores all over the inside of his mouth. they occur approximately every two years. he is usually treated with diflucan. It seems to help but no one has been able to diagnose the problem. they have done culture and bloodwork and still have no diagnosis. this problem can last for a week to ten days. do you know of any other cases like this?
Yes, but unfortunately there are several different conditions that share many of the features you describe and a specific diagnosis over the Web isn`t possible.While the common aphthous ulcer (canker sores) usually presents as a single, painful lesion, some people are prone to developing numerous small, canker sores throughout the mouth. Although more painful to the patient due to the increased number of ulcers, they heal in approximately the same amount of time (7-10 days). The cause of aphthous ulcers remains poorly understood, but stress is often a contributing factor.
Some viral infections can present in an episodic (recurrent) fashion, with numerous oral sores that take 7-10 days to heal. In certain cases, the precise location(s) of the ulcers may help in determining which virus is the likely culprit. Only with very specific blood studies or cultures would these types of infections be detected.
Finally, oral ulcers may occur as a secondary complication to a viral infection. In these cases, the body and immune system over-respond to the infection, leading to destruction of the skin in the mouth. The most common example is a reaction to oral herpetic infections (cold sores, fever blisters) that may occur on the lips. Following the cold sores, the body`s reaction to the virus can lead to numerous, painful sores or ulcers throughout the mouth. These, likewise, tend to heal in 7-10 days.
Because of the range of possible underlying causes or diagnoses, I would recommend that your husband seek clinical consultation from a dentist with specialty training in either oral and maxillofacial pathology or oral medicine. Such individuals can often be found on the faculty at dental schools or major medical centers. With a more definitive diagnosis, specific treatment can be rendered that should help your husband control, and possibly even avoid, his outbreaks.
Good luck.
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John R Kalmar, DMD, PhD Associate Dean for Academic Affairs and Graduate Studies Dental Faculty Practice Section of Oral and Maxillofacial Pathology College of Dentistry The Ohio State University |
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