20   Years old male pt 
10 years old   of  oral ulceration 
2020   recurrent  every 2  weeks
at the age of 16  years   recurrent ulceration 
goutex  0.5 mg    but  he developed high liver fucntion test 

plan 
add  oracort 
add folic acid 
add  deflazacort 

rtc after one month