Aphthae (overview) K12.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Afte; Aften; anchor sore; Recurrent aphthae; Recurrent aphthous stomatitis; Recurrent aphthous ulcers; Simple or complex aphthosis

History
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Hippocrates, ca. 400 B.C.

Definition
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Rapidly developing, solitary or multiple, painful, 0.2-0.5 cm large, inflammatory, slightly elevated mucosal infiltrates with central fibrin-covered erosion (rarely ulceration) and erythematous rim.

Classification
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A distinction is made between:

Etiopathogenesis
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Symptomatic of various underlying diseases, but usually an expression of recurrent benign aphthosis (so-called habitual aphthae).

Localization
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Oral and/or genital mucosa.

Clinical features
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Flat, as if punched out, circular or oval, trough-shaped, very painful, superficial erosions or ulcerations of the oral mucosa surrounded by an inflammatory, edematous red border. They are covered by yellowish to greyish-white fibrin coatings which cannot be stripped off. Less frequently they affect the genital mucosa.

Therapy
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See under the above mentioned clinical pictures.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020