Differential Diagnosis for Frequent Oral Ulcer
Single Most Likely Diagnosis
- Recurrent Aphthous Stomatitis: This condition is the most common cause of frequent oral ulcers, characterized by recurring, benign, and non-contagious ulcers in the mouth. The exact cause is unknown, but it is thought to be related to immune system dysfunction, stress, and genetic predisposition.
Other Likely Diagnoses
- Herpes Simplex Virus (HSV) Infection: HSV can cause oral ulcers, especially during primary infection. These ulcers are typically painful and can be accompanied by other symptoms like fever and swollen lymph nodes.
- Hand, Foot, and Mouth Disease: This viral illness, common in children, can cause oral ulcers along with a rash on the hands and feet.
- Oral Lichen Planus: A chronic inflammatory condition that can cause oral ulcers, along with white patches and redness in the mouth.
- Nutritional Deficiencies: Deficiencies in vitamins like B12, iron, or folate can lead to oral ulcers among other symptoms.
Do Not Miss Diagnoses
- Cancer (Oral Squamous Cell Carcinoma): Although rare, oral ulcers can be a sign of oral cancer. It's crucial to rule out cancer, especially in patients with risk factors like smoking or tobacco use.
- Autoimmune Disorders (e.g., Systemic Lupus Erythematosus, Behçet's Disease): These conditions can cause oral ulcers as part of their symptomatology and require prompt diagnosis and treatment.
- HIV/AIDS: Oral ulcers can be an early sign of HIV infection, making it a critical diagnosis not to miss.
Rare Diagnoses
- Erythema Multiforme: A rare skin condition that can cause oral ulcers, along with skin lesions.
- Pemphigus Vulgaris: A rare autoimmune disease that causes blistering of the skin and mucous membranes, including the mouth.
- Graft-Versus-Host Disease (GVHD): In patients who have undergone bone marrow or stem cell transplants, GVHD can cause oral ulcers among other symptoms.
- Crohn's Disease and Ulcerative Colitis: Although primarily affecting the gastrointestinal tract, these inflammatory bowel diseases can occasionally cause oral ulcers.