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21274268
Apthous-like Oral ulcers
Descripción
First Year Dentistry Mapa Mental sobre Apthous-like Oral ulcers, creado por sanna pathy el 13/03/2020.
Sin etiquetas
oral diseases
dentistry
first year
Mapa Mental por
sanna pathy
, actualizado hace más de 1 año
Más
Menos
Creado por
Zainab Patel
hace más de 4 años
Copiado por
sanna pathy
hace más de 4 años
2
0
0
Resumen del Recurso
Apthous-like Oral ulcers
Other syndromes
Reiter's
Crohn's disease
Coeliac
Recurrent Aphthous Stomatitis
Prevalence
5-25%
Onset
Childhood/puberty
Presentation
Almost always on non-keratinised epithelium
Seen in healthy individuals
Ulcer with red ring (inflammation)
Painful, recurrent
Should occur every 3-4 weeks
Definition
Recurrant ulceration with no obvious cause
Types
Minor
85%
2-10mm
Last 7-14 days
1-5 per crop
No scarring
Non-keratinised mucosa
Major
Scars
Non-keratinised mucosa
10%
>10mm
1-2 per crop
Lasts >14 days
Herpetiform
Scars
Can form on keratinised epithelium
5%
<5mm
>10 per crop
Lasts 7-21 days
Unknown aetiology - idiopathic
Possible aetiological factors
B12/Folate
HIV
Genetic
Food allergy
Coeliac
Drugs
Nicorandil
Beta Blockers
NSAIDs
Local
Trauma
Diagnosis -> exclude other causes
Bloods
FBC
Ferritin
B12 / folate
Check for Viruses
Biopsy for major apthae
GI investigations
Management in practice
Minor RAS
Chx
0.12% MW
1% gel
0.03% Gengigel
Hyaluronic acid
2nd line
Topical steroid
Clobetasol in orabase
Exclude related diseases, treat precipitating factors
Major RAS
Topical steroid + Anti-fungal
2nd line
Systemic steroids
Herpetiform RAS
Systemic steroids
Taking a history of a patient with ulcers
How often does it occur?
Family history?
Nutritional deficiencies?
GI
Coeliac?
Onset as a child/teenager?
Distributed on non-keratinised mucosa
Any problems with genitals or eyes?
Rule out Behcet's
Problem with skin?
Lichen planus
Drug history
Behcets
Gene
HLA-B51
Who does it affect?
Adult males
Mediterranean
Japan
Turkey
Differential diagnosis
Complex apthosis
Presence of CONSTANT >3 oral/genital apthae but no systemic manifestations
Diagnosis
Vit B12
Red cell folate
Ferritin
FBC
HLA-B27,B51
RAS
Erythema multiform
Reiter's syndrome
Syphilis
Management
Oral & Genital ulcers
Topical steroids
Oral & Genital ulcers + skin lesions
Colchicine = systemic immunosuppressant
0.5-1.5mg/day
= oral ulcers + genital ulcers + eye inflammation (vasculitis)
Clinical features
Uveitis
Musculoskeletal disorders
Recurrent aphthous like ulcers
Genital
Oral
Usually major
More aggressive & in multiple sites > RAS
Skin lesions
Erythema nodosum
Chronic, good & bad phases
MAGIC syndrome = Behcets + Relapsing Polychondritis manifestations
Onset = 20-30yrs
Cyclic Neutropenia
= periodic decrease in neutrophils
Usually occurs every 3wks, lasts 3-5days
Onset = birth
Inherited disorder
Clinical features
Recurrent fever
Recurrent infections
Aphthous-like ulcers
Abdominal pain
Pharyngitis, gingivitis
PFAPA syndrome
Unknown aetiology
Clinical features
Recurrent fever
Occurs every 3-6wks, lasting 3-5days
Most common cause in european children
Aphthous-like ulcers
Pharyngitis
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