A systemic antifungal agent should be used in conjunction with steroids to avoid a secondary fungal infection. Mucous membrane pemphigoid More common in older adult women. Produces ulcerations of the palatial mucosa and gingiva. Indistinguishable clinically from erosive lichen planus. A serious sequela of the condition is the ulceration of the conjunctiva and management must include assessment by an ophthalmologist.
Topical steroids are useful in the treatment of the condition.
The clinically distinguishing feature is a painful, eroded mucosal lesions that readily bleeds when disturbed in any manner. Frequently observed in older women. Xerostomia, nutritional deficiencies, diabetes, psychiatric illness and a variety of local factors. No direct etiologic link has been established.