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Recurrent aphthous stomatitis — MRCGP AKT MCQ

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HardENTRecurrent aphthous stomatitisMRCGP AKTUKMLAPARA

An adult has recurrent minor aphthous ulcers with no systemic features, medicine trigger or nutritional deficiency. Which treatment can shorten pain and ulcer duration?

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Correct answer: C — Topical corticosteroid during the active episode

The best answer is “Topical corticosteroid during the active episode”. A topical corticosteroid used early is appropriate symptomatic treatment for recurrent minor aphthous ulceration. Antibacterial, antifungal and antiviral medicines do not treat the sterile inflammatory lesion; systemic immunosuppression is reserved for severe, persistent disease after evaluation for an underlying cause.

Reference: NICE CKS: Aphthous ulcer: https://cks.nice.org.uk/topics/aphthous-ulcer/