White ulcerated surface of the tonsils in adults may be caused by diseases such as Fanshun’s pharyngitis, infectious mononucleosis pharyngitis, etc. Symptomatic and causative treatments need to be taken according to the characteristics of different diseases.
1. Fanshuang pharyngitis: it is a subacute tonsillitis infected by Clostridium difficile and Fanshuang spirochete, with yellow or grayish-white pseudomembrane on the surface of the tonsils, which is composed of necrotic material of ulcers. Commonly used penicillin anti-infection treatment. Compound borax solution, 1% hydrogen peroxide solution and other gargles are used. 10% silver nitrate solution can be applied to the ulcer surface.
2. Infectious mononucleosis pharyngitis: caused by EBV infection, in some cases, there may be pseudomembrane formation on the surface of the tonsils, and when wiped away, large and deep ulcers can be seen, and the bottom of the ulcers have uneven granulation hyperplasia. Immunoglobulin can be used intravenously as early as possible, which can improve the clinical symptoms. Timely treatment with alpha-interferon can also be applied.
When adults have white ulcerated surface of the tonsils, they should go to the hospital, clear diagnosis and follow the doctor’s instructions to standardize the diagnosis and treatment.