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Aphthae (overview)K12.0
Synonym(s)
Afte; Aften; anchor sore; Recurrent aphthae; Recurrent aphthous stomatitis; Recurrent aphthous ulcers; Simple or complex aphthosis
HistoryThis section has been translated automatically.
Hippocrates, ca. 400 B.C.
DefinitionThis section has been translated automatically.
Rapidly developing, solitary or multiple, painful, 0.2-0.5 cm, inflammatory, low-elevation mucosal infiltrates with central fibrin-covered erosion (rarely ulceration) and erythematous rim.
ClassificationThis section has been translated automatically.
A distinction is made between:
- Solitary aphthae
- Habitual aphthae (minor type, major type, herpetiform type)
- Bednar's aphthae
- Fede-Riga's aphthae
- Aphthae in tropical sprue
- Aphthae in Behçet's disease
- Aphthae in the context of Crohn's disease, ulcerative colitis
- Aphthous changes in the context of infections with the herpes simplex virus ( gingivostomatitis herpetica, stomatitis aphthosa, aphthoid Pospischill-Feyrter)
- Recurrent aphthous stomatitis (mucosal changes in the context of gluten sensitivity - see also coeliac disease)
EtiopathogenesisThis section has been translated automatically.
Symptomatic of various underlying diseases, but usually an expression of recurrent benign aphthosis (so-called habitual aphthae).
LocalizationThis section has been translated automatically.
Oral and/or genital mucosa.
Clinical featuresThis section has been translated automatically.
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.
TherapyThis section has been translated automatically.
See under the above mentioned clinical pictures.