Hi Kathy–
Such an interesting case. My experience with xerostomia and mucositis has been similar to your prior experience. Generally it has resolved quickly with supportive care therapies, including salt water rinses, the Biotene products, GelClair, Muguard, or decadron mouth rinses. I have also had a patient where culturing one of their ulcers did indicate a herpetic infection and the addition of an antiviral therapy seemed to help. Good to know that infliximab is also effective in this refractory case.
thanks for sharing,
Suzanne