口腔粘膜病诊断和治疗措施 上海第二医科大学附属 第九人民医院口腔内科-精选文档.ppt
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1、Introduction,Behets disease,Traumatic Ulcer & Traumatic Bulla,Recurrent Aphthous Ulcer,Summary & Questions,BACK,Reiters Syndrome,I. Introduction,Ulcers are one of the most common types of lesions seen in oral mucosa. 2. The difference between ulcer and erosion.,NEXT,ulcer,erosion,NEXT,BACK,Compariso
2、n,Recurrent Aphthous Ulcer,1.Preface Name recurrent aphthous ulcer RAU recurrent aphthous stomatitis RAS recurrent oral ulcer ROU,NEXT, Typing Lehners classification minor aphthous ulcer (MiAU) major aphthous ulcer (MjAU) herpetiform ulcer (HU) Characteristic recidivity self-healing periodicity,NEXT
3、,2. Etiology unknown immunity : cellular immunity, humoral immunity, complement, autoantibody heritage infection :HSV environment: psychology,NEXT, denutrition :iron, copper, zinc, folic acid, Vit B12 hyperoxide dismutase microcirculation disturbance :lip, nail, apex linguae systemic factor :ulcerat
4、ion of stomach、hepatitis、colonitis、diarrhoea,NEXT,3. Clinical features minor aphthous ulcer major aphthous ulcer herpetiform ulcer,NEXT,NEXT,Minor aphthous ulcers,NEXT,NEXT,NEXT,Major aphthous ulcers,NEXT,Periadenitis Mucosa Necrotica Recurrens,NEXT,Major aphthous ulcers,NEXT,Herpetiform ulcers,NEXT
5、,disease-process,24h,10d-14d,outbreak,NEXT,intermission,healing,prodromal stage,ulcerative stage,5. Diagnosis,history clinical feature,NEXT,4. Pathology : nonspecific inflammation,6. Differential diagnosis,benign ulcer & malignant ulcer Necrotizing sialadenometaplasia, Behets disease, herpes simplex
6、, hand-foot-and-mouth disease,NEXT,Comparison,NEXT,7. Treatment,principle:symptomatic treatment Evaluation of curative effect,NEXT,Topical application of a steroid ointment reduces discomfort and decreases the duration of the lesions. Topical anesthetics, antibiotics, mouthwashes, etc., have been us
7、ed. In severe cases, intralesional steroid injection or systemic steroids in a low dose (10-20 mg prednisone) for 5-10 days reduce the pain dramatically.,BACK,III. Behets disease,1. Preface Hulusi Behet (1937) Behets disease is a chronic multisystemic inflammatory disorder of uncertain cause and pro
8、gnosis. 2. Etiology Unknown,NEXT,3. Clinical features 1) oral mucosa: minor aphthous ulcer 2) genital lesion: ulcer 3) skin lesions: erythema nodosum, epifolliculitis, pustule after needling 4) ocular lesions: conjunctivitis, recurrent iritis 5) others systems: joint, digestive, cardiovascular, nerv
9、ous, respiratory, urinary,NEXT,Behets disease,NEXT,4. Pathology : Histopathologic changes consist of a perivascular mononuclear cellular infiltrate, endothelial cell swelling or necrosis, partial luminal obliteration and occasional fibrinoid necrosis of the vessels.,NEXT,5. Diagnosis 1) recurrent or
10、al ulceration 2) recurrent genital ulceration 3) eye lesions 4) skin lesions 5) positive pathergy test To establish the diagnosis of Behets Disease, recurrent oral ulceration plus any two of the other four major clinical criteria must be present.,NEXT,6. Differential diagnosis,NEXT,RAU Herpetic atom
11、atitis Crohns disease Reiters syndrome Stevens-Johnson syndrome,7. Treatment Symptomatic in mild cases. Systemic steroids, immunosuppressive drugs, colchicines, thalidomide, and dapsone are administered in severe cases.,BACK,IV. Traumatic Ulcer Traumatic Bulla,1. Preface,Because of the constant moti
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