Case Series of the Effectiveness of Montelukast for Periodic Fever Syndromes

Mertz, Thomas L.; Prematta, Tracy; Ishmael, Faoud T.; Groh, Brandt

doi:10.1016/j.jaci.2010.12.905

Cited by 3 publications

(1 citation statement)

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“…Despite faster pain relief and healing with prednisone, they concluded that montelukast may be the safer choice as it was not associated with the adverse effects commonly seen with systemic steroid use. A series by Mertz et al [4] also supports the effectivity of montelukast in periodic fever, aphthous stomatitis, pharyngitis, and adenitis.…”

Section: Case Discussionmentioning

confidence: 82%

Primary Idiopathic Complex Aphthosis: Diagnosis and Successful Treatment with Montelukast in a 44-Year-Old Filipino Female

Aquino

Jamora

2020

Case Rep Dermatol

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Recurrent aphthous stomatitis (RAS) is an oral condition characterized by frequent attacks of painful oral ulcers. Complex aphthosis (CA) is a severe form of RAS described as the almost constant presence of ≥3 oral ulcers with or without genital aphthosis. Management of primary CA varies, but most patients warrant the use of systemic agents. Because of prolonged treatment, it is preferred to use systemic medications with the least side effects. Herein, we present a case of a primary idiopathic CA. Workup and examination were done to exclude Adamantiades-Behçet's disease and other diseases. The patient was shifted to montelukast after poor tolerance to colchicine. Favorable control of CA was noted during the 5month follow-up period while the patient was on montelukast.

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Section: Case Discussionmentioning

confidence: 82%