Bovine papular stomatitis humans. Bovine papular stomatitis Bovine papular stomatitis is a disease caused by a virus of the family "Poxviridae" and the genus "Parapoxvirus". It occurs worldwide in cattle. Symptoms include reddish, raised, sometimes ulcerative lesions on the lips, muzzle, and in the mouth. It usually occurs before the age of two years. Reinfection is possible because of the short duration of immunity. Clinically, the disease is mild, but its importance lies in the need to differentiate it from foot-and-mouth disease. There have been reports of both lesions on the hands of milkers and similar infections in sheep and goats, as well
Aphthous stomatitis peripheral blood picture may appear relatively normal. Some suggest that screening for celiac disease should form part of the routine work up for individuals complaining of recurrent oral ulceration. Many of the systemic diseases cause other symptoms apart from oral ulceration, which is in contrast to aphthous stomatitis where there is isolated oral ulceration. Patch testing may be indicated if allergies are suspected (e.g. a strong relationship between certain foods and episodes of ulceration). Several drugs can cause oral ulceration (e.g. nicorandil), and a trial substitution to an alternative drug may highlight a causal relationship. Tissue biopsy is not usually