Резюме
Определение
História e exame físico
Principais fatores diagnósticos
- oral ulcers
- afebrile
- absence of genital or ocular ulceration
- no history of immunodeficiency
- absence of pallor
Fatores de risco
- positive family history
- nonsmoker or cessation of smoking
- trauma
- age <30 years
- cows' milk-fed children
- female sex
- high stress levels
- food intolerance
- hormonal imbalance
- use of sodium lauryl sulfate-containing toothpaste
Investigações diagnósticas
Investigações a serem consideradas
- CBC
- serum ferritin
- serum folate
- serum vitamin B12
- serum IgA-tTG
- viral serology (e.g. HIV or Epstein-Barr virus)
- erythrocyte sedimentation rate and CRP
- biopsy
- antinuclear antibody test
- serum HIV test
Algoritmo de tratamento
all patients
Colaboradores
Authors
Jennifer Taylor, BDS, MFDS RCS, MBChB FDS (OM), PhD
Consultant and Honorary Senior Lecturer in Oral Medicine
Glasgow Dental Hospital and School
Glasgow
Scotland
UK
Disclosures
JT declares that she has no competing interests.
Acknowledgements
We would like to gratefully acknowledge the late Professor Crispian Scully for his contribution to this topic.
Peer reviewers
James J. Sciubba, DMD, PhD
Consultant for Oral Pathology and Oral Medicine
The Milton J. Dance Head and Neck Center
Greater Baltimore Medical Center
Baltimore
MD
Disclosures
JJS declares that he has no competing interests.
Pepe Shirlaw, BDS, FDS RCPS
Consultant in Oral Medicine
Guy’s Hospital
Great Maze Pond
London
UK
Disclosures
PS declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Scully C. Clinical practice. Aphthous ulceration. N Engl J Med. 2006 Jul 13;355(2):165-72. Abstract
Scully C, Gorsky M, Lozada-Nur F. The diagnosis and management of recurrent aphthous stomatitis: a consensus approach. J Am Dent Assoc. 2003 Feb;134(2):200-7. Abstract
Brocklehurst P, Tickle M, Glenny AM, et al. Systemic interventions for recurrent aphthous stomatitis (mouth ulcers). Cochrane Database Syst Rev. 2012 Sep 12;(9):CD005411.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Behcet syndrome
- Malignant ulcer
- Folate deficiency
More DifferentialsDiretrizes
- The diagnosis and management of recurrent aphthous stomatitis: a consensus approach
More DiretrizesFolhetos informativos para os pacientes
Canker sores
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