Queiroz SIML, da Silva MVA, de Medeiros AMC, de Oliveira PT, Gurgel BCDV, da Silveira ÉJD. Recurrent aphthous ulceration: an epidemiological study of etiological factors, treatment and differential diagnosis.
An Bras Dermatol 2018;
93:341-346. [PMID:
29924245 PMCID:
PMC6001102 DOI:
10.1590/abd1806-4841.20186228]
[Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 04/03/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND
Recurrent aphthous ulcerations are common benign ulcerated lesions on the mouth, whose etiology is poorly understood, with controversial treatment and difficult to control in clinical practice.
OBJECTIVE
To evaluate the cases of recurrent aphthous ulcerations with a focus on treatment, diagnosis and etiology.
METHODS
This is a retrospective study of the cases of the Oral Diagnosis service of the Rio Grande do Norte Federal University in Natal/RN. Data such as sex, age, race, location, smoking habits, types of treatment, relapsing episodes, laboratory test results and clinical characteristics were collected. The associations between the variables were analyzed using the Pearson Chi-square test (p <0.05).
RESULTS
A total of 4895 patients were seen in the service over a period of 11 years. Of these, 161 (3.3%) had complaints of oral aphthous ulcerations, of which 76 (47.2%) were diagnosed as suffering from recurrent aphthous ulcerations and 68 (42.2%) with clinical information necessary for evaluation. The tongue was the most affected anatomical region, with 27 individuals (39.7%), followed by the buccal mucosa, with 22 cases (32.3%).
STUDY LIMITATIONS
Retrospective study with data from medical records.
CONCLUSION
Dental surgeons, dermatologists and otorhinolaryngologists are the main responsible for the first contact with patients with this disease and should be attentive to the clinical aspects and treat each patient in an individualized way, since the therapy is palliative, its diagnosis is by exclusion and its etiology is unknown.
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