Aphthous ulcers
ICD-10 code: K12.0 Description Medicine Treatment Referral DESCRIPTION Painful ulcers in the mouth, except the gums, hard palate and dorsum of the tongue. Minor ulcers (< 1 cm diameter) usually heal within 10 days. Major ulcers (> 1 cm diameter) are very painful, often very deep and persist. Major ulcers usually indicate advanced HIV infection. MEDICINE TREATMENT Minor aphthous ulcers: Chil
ICD-10 code: K12.0
Description
Medicine Treatment
Referral
DESCRIPTION
Painful ulcers in the mouth, except the gums, hard palate and dorsum of the tongue. Minor ulcers (< 1 cm diameter) usually heal within 10 days. Major ulcers (> 1 cm diameter) are very painful, often very deep and persist. Major ulcers usually indicate advanced HIV infection.
MEDICINE TREATMENT
Minor aphthous ulcers:
Children < 6 years of age
- Paracetamol, oral, 10–15 mg/kg/dose 6 hourly when required. See dosing table.
Children > 6 years of age and adults
- Tetracaine 0.5 %, topical, applied every 6 hours.
- Apply a thin layer on the affected areas only (may be used inside mouth).
Note: Safety in children < 6 years of age has not been established.
REFERRAL
- Major ulcers for further diagnostic evaluation.
- Ulcers that are not healing within 10 days.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition