Recurrent Painless Orogenital Ulcers for Two Decades

A man in his fifties was admitted acutely for a perforated prepyloric ulcer requiring emergent laparotomy and repair. He was referred to dermatology the next day for incidental painless orogenital ulcers for the past one week. He had a history of recurrent orogenital ulcers for two decades, having 3-4 episodes a year. These ulcers could present in his mouth, on his genitals, or both during each episode; lasting 3-4 days before spontaneously resolving. There were no associated ocular, synovial, gastrointestinal symptoms or chondritis.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research