A 30-year-old man with a chief symptom of a nonhealing painless lip sore of 3 weeks’
duration sought treatment from an oral pathologist. The patient reported application
of an over-the-counter topical steroid to the site during this time without resolution
of the lesion, although he did not recall the name of the medication. At the time
of the initial visit, the patient did not disclose any medical history, did not endorse
any other physical signs or symptoms, and denied recent travel or sexual encounters.
The patient also did not recall any similar lesions in the past and denied recent
trauma, such as from hot or sharp food, biting the lip, or exposure to chemical irritants
such as aspirin, hydrogen peroxide, or alcohol-containing mouthrinse.
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Reference
Sexually transmitted infections: updates from the 2021 CDC guidelines.
Am Fam Physician. 2022; 105: 514-520
The Jarisch-Herxheimer reaction after antibiotic treatment of spirochetal infections: a review of recent cases and our understanding of pathogenesis.
Am J Trop Med Hyg. 2017; 96: 46-52
Syphilis.
BMJ. 2019; 365: l4159
Syphilitic chancre of the lip.
Am J Dermatopathol. 2020; 42: e143-e146
Oral manifestations of syphilis: a review of the clinical and histopathologic characteristics of a reemerging entity with report of 19 new cases.
Head Neck Pathol. 2021; 15: 787-795
The use of topical steroid preparations in oral medicine in the UK.
Br Dent J. 2017; 223: 633-638
Recurrent aphthous stomatitis.
Dent Clin North Am. 2014; 58: 281-297
Oral self-injury: an update.
Dental Traumatol. 2013; 29: 8-14
The diagnosis and treatment of multiple factitious oral ulcers in a 6-year-old boy.
Case Rep Dent. 2017; 20171986834
Histopathologic spectrum of intraoral irritant and contact hypersensitivity reactions: a series of 12 cases.
Head Neck Pathol. 2021; 15: 1172-1184
Review: allergic contact stomatitis.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017; 123: 559-565
Oral and cutaneous manifestations of viral and bacterial infections: not only COVID-19 disease.
Clin Dermatol. 2021; 39: 384-404
Ulcerated lesions of the oral mucosa: clinical and histologic review.
Head Neck Pathol. 2019; 13: 91-102
A review of EBV-positive mucocutaneous ulcers focusing on clinical and pathological aspects.
J Clin Exp Hematop. 2019; 59: 64-71
Oral manifestations in patients with COVID-19: a living systematic review.
J Dent Res. 2021; 100: 141-154
Oral manifestations of COVID-2019-related multisystem inflammatory syndrome in children: a review of 47 pediatric patients.
JADA. 2021; 152: 202-208
Oral mucosa could be an infectious target of SARS-CoV-2.
Healthcare (Basel). 2021; 9: 1068
Sexually transmitted disease surveillance 2020. Centers for Disease Control and Prevention.
Approaches to building rapport with patients.
Clin Med (Lond). 2021; 21: e662-e663
Biography
Ms. Sahu is a student, Columbia University College of Dental Medicine, New York, NY.
Biography
Mr. Koutrakis is a student, Columbia University College of Dental Medicine, New York, NY.
Biography
Dr. Vasilyeva is the chief resident, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Peters is an assistant professor, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Article Info
Publication History
Published online: August 12, 2022
Publication stage
In Press Corrected Proof
Footnotes
Disclosure. None of the authors reported any disclosures.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.07.005
Copyright
© 2022 American Dental Association. All rights reserved.
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