Aphthous stomatitis

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Clinic

  • Recurrent aphthous stomatitis (RAS) or canker sore is characterized by the repeated formation of benign and non-contagious mouth ulcers.
  • Ulcers occur periodically and heal completely between attacks
  • Individual ulcers last about 7–10 days, and ulceration episodes occur 3–6 times per year.
  • The severe forms may be debilitating, even causing weight loss due to malnutrition.
  • Very common, affecting about 20% of the general population
  • Thrush, Mouth Candidiasis are its inter related entities.

Signs / Symptoms

  • They have no detectable systemic symptoms or signs
  • Prodromal sensations such as burning, itching, or stinging, which may precede the appearance of any lesion by some hours
  • Pain, which is often out of proportion to the extent of the ulceration and is worsened by physical contact, especially with certain foods and drinks
  • Pain is worst in the days immediately following the initial formation of the ulcer, and then recedes as healing progresses.
  • Speaking, chewing and swallowing can be uncomfortable due to lesions
  • Aphthous ulcers typically begin as erythematous macules which develop into ulcers that are covered with a yellow-grey fibrinous membrane that can be scraped away.
  • A reddish "halo" surrounds the ulcer. The size, number, location, healing time, and periodicity between episodes of ulcer formation are all dependent upon the subtype of aphthous stomatitis.
  • RAS is thought to be multifactorial

Related disease


Remedies


Tissue Salt Remedies

  • KM: When the color is gray-white
  • NP: When it turns yellow