Management of Oral Ulcers in Autoimmune Disease

A dermatological referral to assess the lesion is often necessary. The oral lesion could be a stand-alone lesion or be a part of chronic dermatosis. Topical application of fluocinonide 0.05% and oral steroids in the appropriately titrated dosages is the mainstay of treatment. Appropriate dosages of steroids are started and gradually decreased in a step-down manner. Pain control can be done by application of orabase (carboxymethyl cellulose) and mouth rinse containing diphenhydramine. Side effects of systemic steroids warrant that the steroid regimen should be monitored by a dermatologist.

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