Teenage with mouth ulcer

Case Profile

Raashi, a 17-year-old girl presented with a chief complaint of:

- Difficulty in eating food because of a pricking/burning sensation on mucosa    while eating hot/spicy food

- Did not like the taste of food

- She complained frequent mouth ulcers for the past 1 year, but the         recurrence increased in past 1 month

- She never used a hard bristle brush

- She did not report any fever in the past year

- She had a 1-year history of getting easily fatigued, sleepiness and     gradually progressing tingling in her hands

The history in the evaluation of recurrent aphthous stomatitis/ recurrent aphthous ulcers should mainly focus on?

Factors predisposing to recurrent aphthous ulcers (RAU)

What are the clinical manifestation of recurrent aphthous ulcers?

Clinical manifestations in patients with Vitamin B12 deficiency

Differential diagnosis of recurrent aphthous ulcers

Management protocol for patients presenting with a strong clinical suspicion of Vitamin B12 deficiency

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