A 29-year-old man with no prior history of mouth sores abruptly developed many 1- to 1.5-mm blisters on the gingiva (FIGURE 1A),tongue (FIGURE 1B), and buccal mucosa (FIGURE 1C), which evolved into small erosions accompanied by a low-grade fever 5 days prior to presentation. The patient had no history of any dermatologic conditions or systemic illnesses and was taking no medication.
Painful ulcers on gingiva, tongue, and buccal mucosa
University of Mississippi School of Medicine, University of Mississippi Medical Center, Jackson (Dr. Fitzpatrick); Department of Dermatology, Department of Pathology, University of Mississippi Medical Center, Jackson (Dr. Brodell); University of Rochester School of Medicine and Dentistry, New York (Dr. Brodell).
Richard P. Usatine, MD
University of Texas Health at San Antonio
Dr. Brodell has received consultant fees from Intraderm Pharmaceuticals and has performed clinical trials for Genentech, Novartis, Glaxo-Smith- Kline, Corrona Registry, and Janssen Biotech, Inc. Dr. Fitzpatrick reported no potential conflict of interest relevant to this article.
We had one clue that helped explain the ulcers in the patient’s mouth: He had an accompanying low-grade fever.