Humans ; Recurrence ; Stomatitis, Aphthous/therapy*

Recurrent aphthous stomatits (RAS) is also known as recurrent oral ulcers, recurrent aphthous ulcers, or simple or complex aphthosis. RAS is the most common inflammatory ulcerative condition of the oral mucosa in North American patients. RAS has been the subject of active investigation along multiple lines of research including epidemiology, immunology, clinical correlations and therapy. Clinical evaluation of the patient requires correct diagnosis of RAS and classification of the disease based on morphology (MIAU, MJAU, HU) and severity (simple versus complex). In order to properly diagnose and treat a patient with lesions of RAS, the clinician must exclude other causes of acute oral ulcers. Complex aphthosis and complex aphthosis variants associated with systemic disorders should be considered. The aphthous-like oral ulcerations of patients with HIV disease represent a challenging differential diagnosis. The association of lesions of RAS with hematinic deficiencies and gastrointestinal diseases provides an opportunity to identify a "correctable cause" which, with appropriate treatment, can result in a remission or substantial lessening of disease activity. Finally, when all of these factors are considered, the evaluation of the patient for Behcet's disease can be continued on firm grounds that one of the major criteria for the diagnosis of Behcet's disease has been met.
Behcet's Syndrome/diagnosis* ; Diagnosis, Differential ; Human ; Recurrence ; Stomatitis, Aphthous/etiology ; Stomatitis, Aphthous/diagnosis* ; Stomatitis, Aphthous/classification

This 24 yrs. old male pt. visited our hosptial on september 1971, with complaints of visual disturbance, ocular pain in Lt. eye. Behcet's disease is usually Characterized by the triad of Hypopyon, uveitis, aphthous ulcer of the mouth and genitalia. A brief review of literatures has been descrived.
Genitalia ; Humans ; Male ; Mouth ; Stomatitis, Aphthous ; Uveitis

Humans ; Stomatitis, Aphthous ; diagnosis ; etiology ; therapy

Objective: To determine whether Psidium guajava leaves mouthwash is effective in the management of patients with aphthous ulcers Methods: Study Design: Randomized prospective open label clinical study Setting: Tertiary Government Training Hospital Subjects: Thirty two patients diagnosed with aphthous ulcers were randomly divided into two groups, a treatment group using prepared guava leaves mouthwash, and a control group using isotonic sodium chloride solution mouthwash, given thrice a day for seven days. Patients were evaluated using a 10 point Visual Analog Scale. The sizes of the aphthous ulcers were measured using a caliper, and compared on day 1 and day 7 for both treatment and control groups. Results were subjected to statistical analysis using T-test, Mann-Whitney U test, and Fisher Exact test. Results: Comparison of VAS scores of guava treatment and NSS control groups showed that there were no differences in pain experienced on days 1 and 2. However, the VAS scores from day 3 to 7 had p values ranging from 0.02 - 0.0001 which showed significant differences in resolution of pain. There was statistically significant marked improvement of pain symptoms as early as three days post-treatment among patients who were administered guava leaves mouthwash. Complete resolution of aphthous ulcers in 75% of the study group was observed on day 7. Mean ulcer size post-treatment with guava gargle was 0.25mm compared to 0.75mm for NSS gargle. The mean size difference at day 7 was 1.44mm for the guava treatment group and 0.88mm for the NSS control group. There was a statistically significant faster resolution of ulcer size on day 7 in 16/16 or 100 % of patients in the treatment group compared with only 10/16 or 62.5% of patients in the control group. Patients who were administered guava leaves mouthwash generally fared better than those administered isotonic sodium chloride solution. Conclusion Guava leaves mouthwash was effective for aphthous ulcers in terms of reduction of symptoms of pain and faster reduction of ulcer size. Further clinical trials comparing this mouthwash against other treatment options are recommended.
Herbal Medicine ; Plants, Medicinal ; Stomatitis, Aphthous

BACKGROUND AND OBJECTIVES: Recurrent aphthous ulceration (RAU) is most common among benign oral mucosal diseases, but its pathogenesis is not clearly defined yet. We aimed to evaluate the allergic reaction and identify the allergen by using the multiple allergosorbent test (MAST). SUBJECTS AND METHOD: We selected a total of 20 patients with RAU. RAU was not diagnosed by biopsy but by clinical findings, and MAST was performed in all patients. Parameters used were total IgE concentration, type of positive allergens, and the specific IgE concentration. RESULTS: The results were as follows: 1) The total IgE concentration was increased more in the RAU group than in the control group (p<0.05). 2) The type of positive allergens was multiple and had more even distribution in the RAU group than in the control group (p<0.05). 3) The specific IgE concentration according to the positive allergen was higher in the RAU group than in the control group (p<0.05). CONCLUSION: Allergic reactions could be invol-ved in the pathogenesis of RAU. The pathomechanism of allergic reaction to the RAU and the feasibility of treatment options such as avoidance therapy, the immune therapy, and the antihistamine usage need further study.
Allergens ; Biopsy ; Humans ; Hypersensitivity ; Immunoglobulin E ; Stomatitis ; Stomatitis, Aphthous*

OBJECTIVETo adopt a criterion summarized in long-term practice to judge the immune status of recurrent aphthous ulceration (RAU) patients, and to analyze its rationality and feasibility.

METHODS60 cases were included, whose clinical information, such as age, sex, constitution status, history of system diseases and severity of ulceration were collected. The subjective judgement results of the immune status were obtained according to the criterion summarized in clinical practice. At the same time, peripheral blood parameters about immune function were examined in order to obtain the objective examination results of the immune status. With the examination result as the gold standard, the rationality of the criterion was estimated through its sensitivity and specificity.

RESULTSAccording to subjective judgment, there were 86.67% cases with abnormal immune status (28.33% cases with elevated immune status, and 58.33% cases with reduced immune status). According to objective examination, there were 93.33% cases with abnormal immune status (23.33% cases with elevated immune status, and 70.00% cases with reduced immune status. Sensitivity and specificity were 89.29% and 50.00% when the criterion was used to judge immune abnormality, 42.86% and 76.09% when the criterion was used to judge immune elevation, and 64.29% and 55.56% when the criterion was used to judge immune reduction.

CONCLUSIONIt is of some rationality and feasibility to judge the immune status according to the criterion based on clinical information, and the criterion can be used in small clinics.

Behcet's disease, though originally described as a triad of oral and genital aphthous ulcers and inflammatory, occular lesion, has had several new elements added to its description. The gastrointestinal manifestation of Behcet's disease including colitis and esophageal ulceration has been recognized in recent years. Four cases of Behcet's disease with colitis and one case with esophageal ulceration are presented and characteristic radiographic findings are described. In colitis and ulcerative esophagitis in Behcet's disease, the ulcers show collar-button appearance and tend to perforate at multiple sites, producing panperitonitis and esophagobronchial fistula, and intervening mucosa is usually normal.
Colitis ; Esophagitis ; Fistula ; Mucous Membrane ; Stomatitis, Aphthous ; Ulcer

Case-Control Studies ; Hemorrhage ; Humans ; Neck ; Pharynx ; Stomatitis, Aphthous

Propolis, also known as 'bee glue' is a wax-like resinous material that is collected from trees by honeybees to protect and repair their hives. This compound is widely used in folk medicine and in the biocosmetic industry for its antiseptic, anti-inflammatory, and anesthetic properties. Because of its sensitizing activity, a number of cases of allergic contact dermatitis to propolis have been reported. Despite this, very few cases of allergic contact dermatitis specifically on the lips and oral mucosa have been reported thus far. We herein report a rare case of allergic contact dermatitis to propolis, presented with cheilitis and oral mucositis caused by a propolis solution that had been used for the treatment of aphthous ulcer.
Cheilitis ; Dermatitis, Allergic Contact ; Lip ; Medicine, Traditional ; Mouth Mucosa ; Propolis ; Stomatitis ; Stomatitis, Aphthous ; Trees ; Urticaria