Stomatitis
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Contents |
More Specific Terms
- angular stomatitis
- aphthous stomatitis (canker sore)
- gingivostomatitis
- hand-foot-&-mouth disease
- herpangina
- Herpes simplex labialis (cold sore)
Introduction
- Inflammation of the mucous membranes of the mouth, generally ulcerative or vesicular.
Etiology
- unknown: aphthous stomatitis
- viral infection
- Herpes simplex type I
- systemic disorder
- inflammatory bowel disease
- connective tissue disease
- Behcet's syndrome
- Kawasaki's disease
- erythema multiforme
- immunocompromised host - AIDS
- biting
- ill-fitting dentures
- irritants
Clinical-manifestations
- general
- oral vesicles or ulcers
- oral pain
- systemic symptoms
- lymphadenopathy
- specific signs/symptoms for specific etiologies
Laboratory
- acute & convalescent serology for HSV-1
- cytology showing giant cells with viral inclusion bodies
- darkfield microscopy for syphilis
- biopsy for suspected tuberculosis, fungi, carcinoma
- diagnosis of aphthous stomatitis is clinical
Differential-diagnosis
-
- lesions tend to be diffuse
- do not ulcerate
- various etiologies of stomatitis
Management
- palliative treatment for aphthous stomatitis
- antibacterial mouthwash
- tetracycline
- chlorhexidine gluconate oral rinse ( Peridex)
- acyclovir for Herpes
- topical for Herpes labialis
- systemic acyclovir for prodrome/ gingivostomatitis
More General Terms
References
Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 3017-18
