Aphthous stomatitis: Difference between revisions
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(Created page with "'''Aphthous stomatitis''', or '''recurrent aphthous stomatitis''' ('''RAS'''), is a common condition characterized by the repeated formation of benign and non-contagious mouth ulcers (aphthae) in otherwise healthy individuals. The informal term '''''canker sore''''' is also used, mainly in North America, although it may also refer to other types of mouth ulcers. The cause is not completely understood but involves a T cell-mediated immune response triggered by a variety o...") |
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=== Clinic === | === 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 | ||
* The | * Individual ulcers last about 7–10 days, and ulceration episodes occur 3–6 times per year. | ||
* Very common, affecting about 20% of the general population | * 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 === | === Signs / Symptoms === | ||
* Prodromal sensations such as burning, itching, or stinging | * They have no detectable systemic symptoms or signs | ||
* Pain | * Prodromal sensations such as burning, itching, or stinging, which may precede the appearance of any lesion by some hours | ||
* Speaking and | * 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 === | === Related disease === | ||
* SLE | * [[SLE, Systemic lupus erythematosus|Systemic lupus erythematosus]] | ||
* Behçet's disease | * [[Behcet disease|Behçet's disease]] | ||
* IBD | * [[IBD, Inflammatory bowel disease|Inflammatory bowel diseases]] | ||
* [[Celiac disease]] | |||
* Cyclic neutropenia | |||
* Immunocompromised states | |||
* MAGIC syndrome | |||
* PFAPA syndrome: Periodic Fever, Aphthae, Pharyngitis and cervical adenitis | |||
* Reactive arthritis | |||
* Sweet's syndrome | |||
* Ulcus vulvae acutum | |||
=== Remedies === | === Remedies === | ||
[[Nit-ac, Nitricum Acidum|Nit-ac]] | * [[Am-c, Ammonium Carbonicum|Am-c]] | ||
* [[Kreos, Kreosotum|Kreos]] | |||
* [[Lach, Lachesis Mutus|Lach]] | |||
* [[Merc, Mercurius Solubilis|Merc]]: [[Oral halitosis]] + [[Lichen planus]] + [[Salivation]] | |||
* [[Merc-c, Mercurius Corrosivus|Merc-c]] | |||
* [[Nit-ac, Nitricum Acidum|Nit-ac]] | |||
Latest revision as of 01:05, 29 December 2023
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
- Systemic lupus erythematosus
- Behçet's disease
- Inflammatory bowel diseases
- Celiac disease
- Cyclic neutropenia
- Immunocompromised states
- MAGIC syndrome
- PFAPA syndrome: Periodic Fever, Aphthae, Pharyngitis and cervical adenitis
- Reactive arthritis
- Sweet's syndrome
- Ulcus vulvae acutum
Remedies