Aphthous ulcer classifications

Jump to: navigation, search

Aphthous ulcer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aphthous ulcer from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Histological Findings

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Aphthous ulcer classifications On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Aphthous ulcer classifications

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Aphthous ulcer classifications

CDC on Aphthous ulcer classifications

Aphthous ulcer classifications in the news

Blogs on Aphthous ulcer classifications

Directions to Hospitals Treating Aphthous ulcer

Risk calculators and risk factors for Aphthous ulcer classifications

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Classification

Aphthous ulcers are classified according to the diameter of the lesion.

Recurrent Aphthous Stomatitis

Recurrent Aphthous Stomatitis is a T-cell mediated localized destruction of oral mucosa associated with an increased relative ratio of CD8+ T-cells to CD4+ T-cells.

Large aphthous ulcer on the inner side of the lower lip: 10 mm (1 cm) length and 5 mm width.

Minor aphthous ulcerations

This is the most common and least severe form of the disease. Aphthous ulcers develop in childhood and adolescence, and continue sporadically throughout life. Aphthous ulcers occur exclusively on non-keratinized, moveable mucosa, such as buccal (cheeks) and lingual mucosa, the floor of the mouth, and the soft palate. It is characterized as a yellow-gray ulcer surrounded by an erythematous halo less than 10 mm in diameter. They tend to heal without scarring in 7–10 days. Typical treatment is with topical steroids, although treatment is not necessary for healing to occur.

Major aphthous ulcerations

Major aphthous ulcers have the same appearance as minor ulcerations, but are greater than 10 mm in diameter and are extremely painful. They usually take more than a month to heal, and frequently leave a scar. These typically develop after puberty with frequent recurrences. They occur on moveable non-keratinizing oral surfaces, but the ulcer borders may extend onto keratinized surfaces. The lesions heal with scarring and cause severe pain and discomfort.

Major aphthous ulcer in the back of the mouth

Herpetiform aphthous ulcerations

This is the most severe form. It occurs more frequently in females, and onset is often in adulthood. It is characterized by small, numerous, 1–3 mm lesions that form clusters. They typically heal in less than a month without scarring. Palliative treatment is almost always necessary.[1]

References

  1. Bruce A, Rogers R (2003). "Acute oral ulcers". Dermatol Clin. 21 (1): 1–15. PMID 12622264.



zh-min-nan:Chhiūⁿ-iam-ke-lâ de:Aphthe eo:Afto gl:Afta id:Sariawan it:Afta he:אפתה la:Ulcus Aphthous nl:Afte sq:Afta fi:Afta sv:Afte th:แผลร้อนใน uk:Афти



Linked-in.jpg