Lupus: Unmasking the Wolf in Sheep’s Clothing

Symptom 6: Oral Ulcers – The Overlooked Sign

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Oral Ulcers - The Overlooked Sign
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Oral ulcers, or mouth sores, are another common, yet often overlooked symptom of lupus. Approximately 45% of lupus patients experience oral ulcers at some point during the course of their disease. These ulcers typically appear on the roof of the mouth but can also occur on the gums or inside the cheeks.

Oral ulcers in lupus are usually painless, unlike typical canker sores. However, they can cause discomfort and can make eating and drinking a challenging task. These ulcers often appear or worsen during a lupus flare, making them a valuable indicator of disease activity.

While there’s no definitive cure for oral ulcers in lupus, management is primarily aimed at symptom relief. Over-the-counter topical gels, mouth rinses, and avoiding spicy or acidic foods that can irritate the ulcers can help alleviate discomfort. Importantly, oral ulcers should be reported to healthcare providers, as they can indicate disease activity and guide treatment decisions. (6)

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