Selected Disorders of Oral Mucosa - 4

By Dr. Vishaal Bhat on Wednesday 12 December 2007 with 0 comments



Periadenititis mucosa necrotisans reccurens (aphtosis maior) is a serious disease characteristic by deep mucous defects around small salivary glands ducts that are painful, persistent and heal with scars. The therapy is identical with that of aphtae minores, it is much more difficult, however. In some cases, hypos with Kenalog are successful.


Erythema exsudativum multiforme Hebrae is a disease that affects mainly youngsters. Its basis is an immunodeficiency. Up to 50% cases of oral mucosa efflorescence are without dermatologic manifestations. Exanthema, papulae and small blisters appear on the mucosa. The iris form is typical for the skin, it may be found occasionally at the palate. Notable hemorrhagic crusts appear on the lips vermilion. The disease is accompanied by catarrhal gingivitis. The tongue is covered with an intense white fur, erosions or exulcerations may sometimes be found on its edges. The disease appears mainly during spring or fall. It is considered to be benign but it may have a fatal end in some cases. Therapy is tedious - epithelization preparations can be used locally, general anti-inflammatory treatment, corticoids, eventually immunologic treatment.

Aphtous stomatitis in combination with iritis and ulceration of genitalia may be parts of the Bechcet’s syndrome. It is a serious disease that may result in blindness due to purulent iritis. Similarly as in case of multiform erythema, the therapy is based on the use of corticoids and antibiotics. Currently, immunosupressants are used.

Category: Oral Medicine Notes , Oral Pathology Notes

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