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Dermatology  (Expert Forum)
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What are these small blisters inside my mouth?
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

What are these small blisters inside my mouth?

by Worried in CA, Apr 12, 2005 12:00AM
Several months ago I had a one time experience during which I engaged in deep kissing with a newly acquainted woman.  Several days to a week or so afterwards I noticed 1) several very small blisters inside my lower lip; 2) several similar blisters on the roof of my mouth; and 3) whiteish bumps in my upper lip that can be seen best if my lip is stretched.  None are painful in anyway.  A couple of the blisters on the inside of my lower lip grew larger and eventually burst leaving a white scar which dissipated over a day or so.  I saw several MDs and DOs, including a dermatologist.  One claimed not to see what I was showing him.  Some suggested that it wasn't typical, but just my own normal oral mucosa.  The dermatologist said the upper lip bumps were swollen oil glands and not to worry.  Another DO said it was probably some weird viral infection, for which they could do nothing.  Since then, I have been tested several times for HIV (pcr and antibody), Syphillis, Gonorhea, Clamydia (chlamydia), herpes HSV-1 and HSV-2, including a Gonorea & Clamydia (chlamydia) throat culture.  All blood and throat tests/cultures were negative, except I tested positive for HSV-1, but the doc said it was not consistent with a current outbreak (I don't ever remember an initial outbreak). All of the blisters are still there and now my young daughter has similar blisters inside her lower lip.  Probably from kissing her at bed time before I recognized them or perhaps a bad habit of sharing drinks (which we stopped as soon as I noticed the changes in my mouth).  So, I think they are quite contagious.  Any ideas what this could be that I could bring back to my primary care physician?
I am worried more for my daughter's long-term future than mine.
Thanks, Single Dad, Worried in CA

by Alan Rockoff, MD, Apr 12, 2005 12:00AM
I'm sure you realize that I can't diagnose you without seeing you.  I can say that what you describe does not sound like herpes or anything contagious.  I think the dermatologist who said the lip bumps were oil glands was most likely correct.  I think in your anxiety you are looking too hard and seeing minor variations that don't matter.  With repeated reassurance and negative tests, I don't know what else you would need to decide that you are OK.  Take your daughter to a pediatrician if you have more questions.  Your story, however, does not match any disease process I know of, certainly not "some weird viral infection, for which they could do nothing."

Best.

Dr. Rockoff
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