7. Oral and Nasal Ulcers: Painful Sores in SLE Patients
Oral and nasal ulcers are common symptoms in individuals with systemic lupus erythematosus, affecting up to 45% of patients. These ulcers are typically small, round, or oval sores with a red or white base and can be quite painful.
They often develop on the inside of the cheeks, the tongue, the roof of the mouth, the gums, or inside the nose. While the exact cause of these ulcers is not fully understood, it is believed that they result from the immune system’s overactivity and inflammation in the mucous membranes of the mouth and nose.
To manage oral and nasal ulcers in SLE patients, healthcare providers may recommend various treatment options, including topical anesthetics, corticosteroids, or mouth rinses. Topical anesthetics, such as lidocaine or benzocaine, can provide temporary relief from the pain associated with ulcers, while corticosteroid creams or gels can help to reduce inflammation and promote healing. Mouth rinses containing an antimicrobial agent or corticosteroid may also be prescribed to alleviate pain and reduce inflammation.
In addition to medical treatments, maintaining good oral hygiene is essential for SLE patients to prevent the development or worsening of oral and nasal ulcers. Regular dental check-ups, brushing and flossing, and using a soft toothbrush can help to minimize irritation and inflammation in the mouth. Avoiding spicy, acidic, or abrasive foods can also help to reduce discomfort and promote healing of ulcers. (7)
