Oral Ulcers with Dysphagia in an Elderly Female
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A 63-year-old woman presented with complaints of painful recurrent oral ulcers for 2 years and dysphagia for 1 year. These ulcers formed spontaneously and disappeared over 2-4 weeks each time. They involved the buccal and gingival mucosa and dorsum of the tongue. There were no blisters and no bleeding from the ulcers. She did not have any lesion over the skin or scalp and denied having any ocular symptoms or change in voice. There was no history of starting any new medication or change in denture prior to the onset of symptoms. She was treated by a dermatologist who prescribed multivitamins but they did not give her any relief. A year later she developed progressive dysphagia to solids followed by semisolids. There was no odynophagia and she denied ingestion of any drugs that could cause ulceration in the esophagus. The initial biopsy performed from oral mucosa was inconclusive. Her medical history was significant for hypertension and her medications included a combination of...
KeywordsCeliac Disease Amlodipine Buccal Mucosa Esophageal Stricture Basement Membrane Zone
Conflict of interest
None of the authors had any financial grant or conflict of interest.
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