Aphthous Stomatitis

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الوصف الكامل Background: 

31-year-old HIV-infected man presents with painful sores in his mouth
His medications consist of tenofovir-DF (Viread), lamivudine (Epivir), and efavirenz (Sustiva); his CD4 count is 328 cells/mm3 and his HIV RNA is less than 50 copies/ml.

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

The oral examination shows several moderately sized ulcerated lesions on the tongue and buccal mucosa (Figure 1).

التشخيص التفريقي DD: 

التدبير Managment: 

الاستقصاءات Investigations: 

He has previously experienced several similar but less severe episodes. A fluorescent antibody and culture for herpes simplex virus are negative and the diagnosis of aphthous stomatitis is made.



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