The Journal of the American Dental Association
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J Am Dent Assoc, Vol 128, No 3, 347-348.
© 1997 American Dental Association
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Journal of the American Dental Association, Vol 128, Issue 3, 347-348
Copyright © 1997 by American Dental Association

CLINICAL PRACTICE

Chronic stomatitis: an early sign of Crohn's disease



CL Dunlap, CA Friesen, and R Shultz
Department of Oral Pathology, University of Missouri-Kansas City, School of Dentistry 64108, USA.

The authors describe an 11-year-old boy who had persistent oral lesions that clinically mimicked first-episode herpetic stomatitis. A biopsy revealed noncaseating sterile granulomas. Investigation of the small and large bowels revealed that the child had Crohn's disease. The oral lesions responded favorably to topical steroid therapy. The authors also discuss the range of oral lesions in inflammatory bowel disease and the differential diagnoses.




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