Publication: A Case Report Of Oral Ulcer In Rheumatoid Arthritis: A Diagnostic And Management Dilemma
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Putra Malaysia; Fakulti Perubatan dan Sains Kesihatan, Universiti Putra Malaysia
Abstract
Chronic oral ulcer in patients with rheumatoid arthritis is a diagnostic challenge in primary health care. The possible causes include the disease itself, side effect of treatment, malignancy and infections. This is a case of a 63-year-old woman with underlying rheumatoid arthritis presented with chronic solitary oral ulcer. She was on oral methotrexate (MTX) and high dose folic acid for five years with good compliance. Tissue biopsy showed marked inflammatory cells infiltration and nuclear hyperchromatism with no evidence of malignancy nor infection. The ulcer was resolved after completing antifungal treatment for six weeks following failure of improvement after empirical antibiotic, elimination of possible trauma and discontinuation of MTX. The fungal staining was negative. There are possibilities of false negative results, thus broadened diagnosis with repeated and further investigations are recommended in cases who did not respond to conventional treatment.
Description
Malaysian Journal of Medicine and Health Sciences Volume 19 Issue (SUPP19) Page (31-33)
Keywords
Oral ulcer, rheumatoid arthritis, methotrexate, autoimmune disease, immunocompromised patient
Citation
Siti Asmat Md Arepen, Dinie Qistina Rajalie, Abu, Z., Nor Azirah Salahuddin, Nour, Anwaar, A., & Nor Eyzawiah Hassan. (2023). A Case Report of Oral Ulcer in Rheumatoid Arthritis: A Diagnostic and Management Dilemma. Malaysian Journal of Medicine and Health Sciences/Malaysian Journal of Medicine and Health Sciences, 19(s19), 31–33. https://doi.org/10.47836/mjmhs.19.s19.9