J Rheum Dis 2017; 24(3): 157-160
Published online June 30, 2017
© Korean College of Rheumatology
Correspondence to : Yoon-Kyoung Sung, Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea.
E-mail:sungyk@hanyang.ac.kr
This is an Open Access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Oral aphthous ulcer is a common lesion characterized by loss of dermal tissue of various shapes in many diseases. It is not serious, but may affect quality of life through pain and discomfort. In many cases, it heals spontaneously without treatment or with topical agents such as antiseptics, analgesics and corticosteroid in a few days. However, rarely, there are a few cases of aphthous ulcer that remain refractory despite appropriate treatment. Tumor necrosis factor-α inhibitors have recently been used in treatment of severe mucosal ulcer in Behçet’s disease. Herein, we report a patient suffering from refractory oral aphthous ulcers that were resistant to topical and systemic agents, but were successfully treated with adalimumab.
Keywords Oral ulcer, Aphthous stomatitis, Tumor necrosis factor-alpha inhibitor, Adalimumab
J Rheum Dis 2017; 24(3): 157-160
Published online June 30, 2017 https://doi.org/10.4078/jrd.2017.24.3.157
Copyright © Korean College of Rheumatology.
Jinyeong Kim1, Myung-jin Song1, Hye-Jin Jeong2, Soo-Kyung Cho1,3, Yoon-Kyoung Sung1,3
1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, 2Department of Rheumatology, Keimyung University Dongsan Medical Center, Daegu, 3Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea
Correspondence to:Yoon-Kyoung Sung, Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea.
E-mail:sungyk@hanyang.ac.kr
This is an Open Access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Oral aphthous ulcer is a common lesion characterized by loss of dermal tissue of various shapes in many diseases. It is not serious, but may affect quality of life through pain and discomfort. In many cases, it heals spontaneously without treatment or with topical agents such as antiseptics, analgesics and corticosteroid in a few days. However, rarely, there are a few cases of aphthous ulcer that remain refractory despite appropriate treatment. Tumor necrosis factor-α inhibitors have recently been used in treatment of severe mucosal ulcer in Behçet’s disease. Herein, we report a patient suffering from refractory oral aphthous ulcers that were resistant to topical and systemic agents, but were successfully treated with adalimumab.
Keywords: Oral ulcer, Aphthous stomatitis, Tumor necrosis factor-alpha inhibitor, Adalimumab
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