Case Report

J Rheum Dis 2017; 24(3): 157-160

Published online June 30, 2017

© Korean College of Rheumatology

A Case of Refractory Oral Aphthous Ulcer Successfully Treated with Adalimumab

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

Received: June 15, 2016; Revised: August 30, 2016; Accepted: September 20, 2016

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.

Abstract

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

Article

Case Report

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.

A Case of Refractory Oral Aphthous Ulcer Successfully Treated with Adalimumab

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

Received: June 15, 2016; Revised: August 30, 2016; Accepted: September 20, 2016

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.

Abstract

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

JRD
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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