Chronic stomatitis: an early sign of Crohn's disease

The authors describe an 11-year-old boy who had persistent oral lesions that clinically mimicked first-episode herpetic stomatitis. A biopsy revealed noncaseating sterile granulomas. Investigation of the small and large bowels revealed that the child had Crohn's disease. The oral lesions respon...

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Bibliographic Details
Published inThe Journal of the American Dental Association (1939) Vol. 128; no. 3; p. 347
Main Authors Dunlap, C L, Friesen, C A, Shultz, R
Format Journal Article
LanguageEnglish
Published England 01.03.1997
Subjects
Administration, Topical
Anti-Inflammatory Agents - therapeutic use
Child
Chronic Disease
Clobetasol - therapeutic use
Crohn Disease - complications
Crohn Disease - diagnosis
Diagnosis, Differential
Glucocorticoids
Humans
Male
Oral Ulcer - drug therapy
Oral Ulcer - etiology
Sarcoidosis - diagnosis
Stomatitis - drug therapy
Stomatitis - etiology
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Summary:The authors describe an 11-year-old boy who had persistent oral lesions that clinically mimicked first-episode herpetic stomatitis. A biopsy revealed noncaseating sterile granulomas. Investigation of the small and large bowels revealed that the child had Crohn's disease. The oral lesions responded favorably to topical steroid therapy. The authors also discuss the range of oral lesions in inflammatory bowel disease and the differential diagnoses.
ISSN:0002-8177
1943-4723
DOI:10.14219/jada.archive.1997.0198