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.