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A 50-Year-Old Man with an Ulcer of the Buccal Mucosa

Published:November 16, 2022DOI:https://doi.org/10.1016/j.oooo.2022.11.008
      A 50-year-old Brazilian man presented to the emergency department with two painful ulcers of the right buccal mucosa. He first noticed these lesions 3 months earlier, after the extraction of adjacent maxillary teeth. Later, the patient returned to the outside provider for follow up due to increased pain and lesion size. The patient was referred to an outside oral and maxillofacial surgeon for further evaluation, who then initiated referral to our academic center. In addition to the oral mucosal lesions noted, the patient reported unintentional weight loss of 15 pounds. He denied other symptoms including fever, chills, nausea, vomiting, and fatigue. The patient's medical history included alcohol use disorder of 20 years duration. He reported no health maintenance with a primary care physician or established care in the United States. The patient took no medications and had no allergies. He had a 40-pack year smoking history and worked as a construction worker laying foundations in New England. He immigrated from Brazil 18 years ago and intermittently traveled to his home country, most recently 3 years ago.

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