Recurrent apthous ulcer
Channel: JAM paeds
Date: 07/12/2020

Recurrent oral ulceration is common and may present in childhood. Causes of recurrent oral ulceration are numerous and there may be an association with underlying systemic disease. Recurrent aphthous stomatitis (RAS) is the most common underlying diagnosis in children. The discomfort of oral ulcers can impact negatively on quality of life of a child, interfering with eating, speaking and may result in missed school days. The role of the  practitioner is to identify patients who can be treated with simple measures in primary  care and those who require assessment and treatment in secondary care. Management may include topical agents for symptomatic
relief, topical corticosteroids and, in severe recalcitrant cases, systemic agents may be necessary.