Recurrent aphthous ulcers of the mouth are usually a minor and intermittent annoyance. However, a patient with extensive and continuous involvement may have a significant disability.
Aphthous ulcers may be disabling when:
(1) extensive, including the pharynx
(2) continuous or nearly continuous (which may occur when a new crop appear before a previous crop resolves)
Problems associated with extensive aphthous ulcerations:
(1) continuous pain, discomfort and burning
(2) increased pain when talking or chewing
(3) difficulty eating with dysphagia
(4) weight loss
(5) generalized malaise
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