Abstract
A 50-year-old woman was referred to the Center for Oral Disease at Brigham and Women's Hospital, Boston, for evaluation and treatment of painful oral ulcerations. Four days before, she had become aware of discomfort while eating, with salad dressing especially causing her mouth to burn. The following day, she broke out in ulcerations (Figures 1 and 2) and developed what she reported as the worst pain that she had ever experienced. She sought treatment in her local emergency department over the weekend, received a prescription for an acetaminophen and oxycodone solution and a so-called “magic mouthwash” (bismuth salicylate, lidocaine and diphenhydramine hydrochloride, in equal parts) for pain, and was referred to the clinic the following Monday morning.
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