Eosinophilic Ulcer Follow-up
- Author: Faizan Alawi, DDS; Chief Editor: William D James, MD more...
Further Outpatient Care
Once treatment is initiated, advise patients to return in 2 weeks for re-evaluation. Biopsy is warranted if the lesion does not appear to be resolving with either topical steroid use or removal of the traumatic irritant.
Patients should eliminate the source of the chronic irritation to prevent recurrence (see Causes).
If the ulcer does not resolve, even after biopsy and removal, the patient may have an underlying systemic condition that prevents the lesion from healing. The patient should be referred for a medical workup. Pilolli et al emphasize the importance of a differential diagnosis and a thorough evaluation.
Clinicians should remember that deliberate self-mutilation may be a symptom of an underlying emotional disturbance. In cases of self-mutilation, patients may inflict injury to themselves to seek attention and sympathy or to obtain prescription medications. Psychiatric or psychological counseling is often necessary for these patients. Also see Malingering.
The prognosis is excellent, even with conservative treatment. Recurrence is rare; however, the source of the chronic irritation should be eliminated to ensure that the ulcer does not recur.
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