A 32-year-old woman presents to the Emergency Department with painful ulcers in and around the mouth that have been present for 3 days. She reports no previous history of similar episodes. On examination, you notice multiple small, shallow ulcers on the buccal mucosa, tongue and lips.
Which of the following is the most appropriate initial management?
A
Oral acyclovir
B
Topical lidocaine
C
Topical acyclovir
D
Oral fluconazole
E
Oral penicillin