Description

Aphthous ulcers can be classified based on size and number.


 

Parameters:

(1) size in diameter

(2) number

Diameter in mm

Number

Type

2 - 8 mm

1 to 6

minor

> 8 mm (up to 30 mm)

1 or 10

major

1 - 2 mm

numerous (may be > 100), with wider distribution

"herptetiform"

 

where:

• Some authors use 10 mm as the cutoff distinguishing minor from major aphthae.

• Major aphthous ulcers can heal by scarring, which is not seen in the other types.

• Herpetiform aphthous ulcers have no relation to Herpes simplex virus.

• Herpetiform ulcers may occur in "crops", with a new crop appearing before a previous crop has completely resolved.

 


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