Overview

Oral lesions can include ulcers, blisters or white patches. HSV, syphilis and non-infectious causes should be considered depending on appearance and history.

Possible causes

  • HSV-1
  • Syphilis
  • Aphthous ulcer
  • Other mucosal conditions

What to note before assessment

  • Note lesion duration
  • Avoid spicy or acidic foods if painful
  • Seek care if persistent

Key points

  • May be viral or bacterial
  • Appearance guides diagnosis
  • Persistent lesions need review
  • Sexual history may matter

When to seek care

  • New oral ulcer
  • Lesion with genital symptoms
  • Persistent white patch