Topical steroids are the mainstay of treatment in Aphthous ulcers.
An important differential diagnosis of oral aphthous ulcers is intra oral herpetic ulcers. And sometimes, it may be difficult to differentiate between the two.
Applying steroids on herpetic ulcers can have serious sequelae, including severe spread of the infection.
How can a practicing physician safely prescribe topical steroids to a patient of aphthous ulcers?