Painful oral ulcers

  • SH Keah


Figure 1 shows the photograph of the oral cavity of a 51-yearold male who complained of multiple painful oral ulcers for thepast two days. He has no past medical illnesses of significance.The following day, he returned to the practice complaining ofan excruciating pain over the left cheek and also expressedconcern over the development of a rash over the left upper lipregion which is slightly painful (Figure 2). He has no fever orother systemic complains. (copied from article)


Trigeminal Nerve.

Laskaris G. Color atlas of oral disease. 2nd ed. Thieme Medical Publishers;1994. p. 118-9.

Ramchandani PL, Mellor TK. Herpes zoster associated with tooth resorption and periapical lesions. Br J Oral Maxillofac Surg. 2007;45(1):71-3.

Opstelten W, van Loon AM, Schuller M, et al. Clinical diagnosis of herpes zoster in family practice. Ann Fam Med. 2007;5(4):305-9.

Mounsey AL, Matthew LG, Slawson DC. Herpes zoster and

postherpetic neuralgia: prevention and management. Am Fam

Physician. 2005;72(6):1075-80.

Whitley RJ, Weiss H, Gnann JW Jr, et al. Acyclovir with and

without prednisone for the treatment of herpes zoster. A

randomized, placebo-controlled trial. The National Institute of

Allergy and Infectious Diseases Collaborative Antiviral Study

Group. Ann Intern Med. 1996;125(5):376-83.

Dworkin RH, Barbano RL, Tyring SK, et al. A randomized,

placebo-controlled trial of oxycodone and of gabapentin for acute pain in herpes zoster. Pain. 2009;142(3):209-17.

Kimberlin DW, Whitley RJ. Varicella-zoster vaccine for the

prevention of herpes zoster. N Engl J Med. 2007;356(13):1338-43.

How to Cite
KeahS. (2012). Painful oral ulcers. Malaysian Family Physician, 5(2), 2. Retrieved from
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