Chronic Oral Ulcers: Seeking Solutions for SLE Patients - Dentistry

More Info

---

Chronic oral ulcers can be a significant concern for patients with Systemic Lupus Erythematosus (SLE), as they can greatly affect quality of life and nutritional intake. The presence of these ulcers, especially when they persist for an extended period, can indicate underlying issues related to the autoimmune nature of SLE. Here are some considerations and recommendations for managing chronic oral ulcers in SLE patients.


Understanding Oral Ulcers in SLE
Oral ulcers in SLE patients may arise due to several factors, including the disease itself, medications, or secondary infections. SLE is characterized by an overactive immune response, which can lead to inflammation and ulceration of the oral mucosa. The white appearance of the ulcers you described could suggest a necrotic tissue or a fungal infection, which is not uncommon in immunocompromised individuals.


Treatment Options
1. Topical Treatments:
- Corticosteroids: Topical corticosteroids can help reduce inflammation and pain associated with oral ulcers. Products like triamcinolone acetonide or fluocinonide can be applied directly to the ulcers.

- Anesthetic Gels: Over-the-counter topical anesthetics (like benzocaine) can provide temporary relief from pain, making it easier to eat and drink.

2. Mouth Rinses:
- Saltwater Rinse: A simple saline solution can help cleanse the mouth and promote healing.

- Antimicrobial Mouthwash: Chlorhexidine gluconate mouthwash can help reduce bacterial load and prevent secondary infections.

3. Dietary Adjustments:
- Avoiding spicy, hot, or acidic foods can help minimize irritation. Soft foods that are easy to swallow may be more tolerable during flare-ups.

4. Systemic Treatments:
- If topical treatments are ineffective, systemic medications may be necessary. This could include immunosuppressive therapies or biologics that target specific pathways in the immune response.

5. Regular Monitoring:
- Regular follow-ups with your rheumatologist are crucial. They can monitor the progression of your SLE and adjust treatments as necessary.

6. Stress Management:
- Stress can exacerbate SLE symptoms, including oral ulcers. Techniques such as mindfulness, yoga, or counseling may help manage stress levels.


When to Seek Further Help
If your oral ulcers do not improve with these measures, or if you experience additional symptoms such as fever, increased pain, or difficulty swallowing, it is essential to seek further medical evaluation. Persistent ulcers may require a biopsy to rule out other conditions, including malignancies or infections.


Accessing Care
Regarding your inquiry about scheduling an appointment with Dr. Zeng, I recommend contacting the clinic directly via phone or their online appointment system. If Dr. Zeng's schedule is not visible, it may be due to limited availability or specific clinic policies. The staff should be able to assist you in finding an appropriate time for your visit.


Conclusion
Chronic oral ulcers can be challenging for SLE patients, but with a comprehensive approach that includes topical treatments, dietary modifications, and regular medical follow-up, it is possible to manage these symptoms effectively. Always communicate openly with your healthcare provider about your symptoms and treatment responses to ensure the best possible care.