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. 2021 Jul 15;16(4):1066–1073. doi: 10.1016/j.jds.2021.07.001

Table 1.

Summary of 51 reported cases of oral ulcerative lesions in COVID-19 patients.

Case No. References (Year of publication) Age Sex Lesion site Clinical features Lesion size Pain General symptoms Onset (day) Confirmation of COVID-19
1 Riad et al.9 (2021) 16 F Upper lip Solitary ulcerative white halos with well-defined erythematous margins 1 mm + Cough 0 +
2 Riad et al.9 (2021) 17 F Buccal mucosa Same as above 1 mm + Asymptomatic 0 +
3 Riad et al.9 (2021) 19 M Buccal mucosa Same as above 1 mm + Asymptomatic 0 +
4 Riad et al.9 (2021) 20 M Palate Same as above 2 mm + Anosmia 0 +
5 Riad et al.9 (2021) 20 F Buccal mucosa Same as above 2 mm + Anosmia 0 +
6 Riad et al.9 (2021) 24 F Tongue Same as above 1 mm + Asymptomatic 0 +
7 Riad et al.9 (2021) 25 F Upper gingiva Same as above 2 mm + Anosmia 0 +
8 Riad et al.9 (2021) 26 F Buccal mucosa Same as above 2 mm + Asymptomatic 0 +
9 Riad et al.9 (2021) 27 F Upper lip Same as above 2 mm + Cough 0 +
10 Riad et al.9 (2021) 27 F Palate Same as above 2 mm + NR 0 +
11 Riad et al.9 (2021) 31 M Lower lip Same as above 2 mm + Asymptomatic 0 +
12 Riad et al.9 (2021) 31 F Tongue Same as above 2 mm + NR 0 +
13 Riad et al.9 (2021) 36 F Palate, upper and lower gingiva Same as above 4 mm + Anosmia, fever, cough 0 +
14 Riad et al.9 (2021) 37 M Buccal mucosa Same as above 2 mm + Anosmia 1 +
15 Riad et al.9 (2021) 38 F Buccal mucosa Same as above 1 mm + Fever 0 +
16 Riad et al.9 (2021) 38 F Tongue Same as above 1 mm + Asymptomatic 0 +
17 Riad et al.9 (2021) 39 F Upper lip Same as above 4 mm + Cough 0 +
18 Riad et al.9 (2021) 42 F Lower lip Same as above 3 mm + Asymptomatic 0 +
19 Riad et al.9 (2021) 46 F Upper gingiva Same as above 2 mm + Fever 1 +
20 Riad et al.9 (2021) 48 F Lower lip Same as above 2 mm + Asymptomatic 0 +
21 Riad et al.9 (2021) 56 F Buccal mucosa Same as above 2 mm + Cough 0 +
22 Brandão et al.10 (2021) 28 M Upper and lower labial mucosa, tongue Aphtha-like ulcerations NR NR Anosmia, cough, fever, headache, myalgia, chills 8 +
23 Brandão et al.10 (2021) 29 M Tongue Same as above 10 mm + Anosmia, fever, cough, headache, dyspnea on exertion, malaise 8 +
24 Brandão et al.10 (2021) 32 F Tongue Same as above 3–4 mm NR Anosmia, fever, cough, headache 10 +
25 Brandão et al.10 (2021) 35 M Tonsillar pillar Same as above 5 mm NR Hyposmia, fever, cough, sore throat, malaise 6 +
26 Brandão et al.10 (2021) 71 F Upper and lower lips, tongue Oral ulceration with focal necrosis, hemorrhagic crusting NR + Cough, dysgeusia, fever, mild dyspnea, CT showing “ground-glass” pattern in both lungs 4 +
27 Brandão et al.10 (2021) 72 M Upper and lower lips Same as above NR + Fever, dyspnea 5 +
28 Brandão et al.10 (2021) 81 M Upper and lower labial mucosa, tongue Same as above 10–15 mm + Cough, chest tightness, chills, fever, dyspnea, CT showing “ground-glass” pattern in both lungs 5 +
29 Brandão et al.10 (2021) 83 F Tongue and palate An aphtha-like ulcer with focal necrosis 15 mm + Abdominal distension, mild dyspnea 2 +
30 Ciccarese et al.6 (2021) 19 F Lips Ulcerations with crusting NR Fever, fatigue, hyposmia 7 +
31 Ansari et al.14 (2021) 56 F Palate Ulcerations with irregular margins NR + Fever, shortness of breath 5 +
32 Ansari et al.14 (2021) 75 M Tongue Several small ulcers with irregular margins NR + Hypoxia 7 +
33 Kämmerer et al.18 (2021) 46 M NR Multiple sharply circumscribed ulcerations NR + Fatigue, dry cough, fever, respiratory distress, CT showing “ground-glass” pattern in both lungs 15 +
34 Martín Carreras-Presas et al.15 (2021) 56 M Palate Multiple ulcerations with unilateral affection NR + Fever, hyposmia, enlarged lymph nodes NR NR (pending the result)
35 Martín Carreras-Presas et al.15 (2021) 58 M Palate Multiple small ulcerations with unilateral affection NR + NR NR NR
36 Martín Carreras-Presas et al.15 (2021) 65 F Labial mucosa Blisters and ulcerations NR + High fever, diarrhea, skin rash, bilateral pneumonia NR +
37 Al-Khanati et al.11 (2020) 24 M Lower labial mucosa Multiple aphtha-like ulcerations 15–17 mm + Headache, fatigue, fever, dizziness, nausea, sore throat NR
38 Corchuelo and Ulloa12 (2020) 40 F Tongue, attached gingiva of tooth 34 Aphtha-like ulcers NR + Asymptomatic NR +
39 Malih et al.35 (2020) 38 M Left tonsil Aphthous stomatitis-like lesions NR NR Fatigue, anosmia, fever, skin rash, malaise NR +
40 Dominguez-Santas et al.13 (2020) 19 M Lower labial mucosa Four clustered aphthae NR NR Anosmia, fever, headache, malaise, and dyspnea 0 +
41 Dominguez-Santas et al.13 (2020) 33 M Upper gingiva An aphtha-like ulcers NR NR Anosmia, fever, headache, malaise, dyspnea, pneumonia of right lower pulmonary field, mild lymphopenia 3 +
42 Dominguez-Santas et al.13 (2020) 37 M Tongue (right ventral side) Seven aphtha-like ulcers NR NR Anosmia, fever, headache, malaise, and dyspnea 5 +
43 Dominguez-Santas et al.13 (2020) 43 F Buccal mucosa (right) An aphtha-like ulcer NR NR Anosmia, fever, headache, malaise, dyspnea, bilateral pneumonia, mild lymphopenia 4 +
44 Eghbali Zarch et al.36 (2020) 56 F Lower labial mucosa Preceding vesicles NR + High fever, fatigue 2 +
45 Soares et al.17 (2020) 42 M Buccal mucosa A “punched-out” ulcer NR + Fever, cough, shortness of breath, skin petechia-like and small vesicobullous lesions NR +
46 Putra et al.3 (2020) 29 M NR Aphthous stomatitis-like lesions NR + Fever, cough, anosmia, skin petechia- lesions, sore throat 7 +
47 Amorim Dos Santos et al.19 (2020) 67 M Tongue Multiple pinpoint yellowish ulcers NR NR Dyspnea, fever, diarrhea, CT showing “ground-glass” pattern in both lungs 24 +
48 Chérif et al.37 (2020) 35 F Upper lip Ulcerations NR NR Fever, myalgia, dyspnea, cough, vomiting, diarrhea, rash NR +
49 Sinadinos and Shelswell16 (2020) 56 M Palate Recurrent herpes-like stomatitis NR + Sore throat NR NR (pending the result)
50 Sinadinos and Shelswell16 (2020) 58 M Palate Unilateral palatal ulcerations NR + NR NR NR (pending the result)
51 Sinadinos and Shelswell16 (2020) 65 F Tongue Erythema multiform-like ulcerations NR + Bilateral pneumonia NR +

NR: not reported.

CT: chest computed tomography.