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Sounds like Behcets . No specific test but the eye, skin and mucosal inflammation point to it. Michael ------------------------------ Michael Simmons MD Jefferson City Medical Group Jefferson City MO ------------------------------
Maybe a paraneoplastic syndrome? I would pan scan her. Autoimmune seems most likely. Somewhat related- I have used methylene blue swish and spit for patients who have oral mucositis secondary to xrt and immunotherapy. Works ok. MD Anderson has a study ...
Could it be Reactive Infectious Mucocutaneous Eruption (RIME)?
Dr. Brinson, This strikes me as a palatial version of ANUG. I have seen patients presenting exactly like this. Usually it is a poly microbial infection which causes severe painful lesions and erosions. It is presumed to be spirochetes, fusobacterium ...
Consider Bechet's, Stevens Johnson or pemphigus. At least things to think of ------------------------------ Gregory Swanson MD PhD ENT Specialists of Wisconsin Appleton WI ------------------------------