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David H. Frankel, MD; Allan L. Lorincz, MD
University of Chicago Hospitals and Clinics

JAMA. 1985;253(14):2043.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Recently the clinical dilemma of recurrent aphthous stomatitis was discussed in the QUESTIONS AND ANSWERS section of THE JOURNAL.¹ The case presented involved a 50-year-old woman with recurrent aphthous stomatitis who had a history of "functional bowel disease" and whose oral symptoms correlated well with the severity of her bowel symptoms. Having recently reviewed the literature on oral Crohn's disease (CD), I am struck by the similarity between this case, the two cases we have reported, and numerous cases reported previously.²

The label of "functional bowel disease," especially in light of oral symptoms, must be fully justified. We do not know, for example, the results of this patient's barium and/or endoscopic studies or whether an oral biopsy was ever performed. Such investigations may be crucial in the case of this woman since it is well reported that patients with CD may present with oral complaints . . . [Full Text PDF of this Article]

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