ABSTRACT
No disponible
Subject(s)
Humans , Male , Young Adult , Facial Hemiatrophy/diagnosis , Calcinosis/diagnosis , Tomography, X-Ray ComputedABSTRACT
La aftosis oral recurrente consiste en la aparición de episodios repetidos de úlceras sin que exista una causa conocida. Son úlceras orales en número y tamaño variable según la forma de presentación, la cual también condiciona el tiempo necesario para la curación. Existen factores que favorecen su aparición, pero no son causales. En determinados casos, los brotes de aftosis tienen una causa conocida y entonces no se considera una aftosis oral recurrente. La forma de presentación de las úlceras y su gravedad son claves en el diagnóstico diferencial. El tratamiento es sintomático en la aftosis oral recurrente, mientras que si existe una causa sistémica de base el tratamiento será el indicado en este caso además del tópico (AU)
Recurrent aphthous stomatitis consists on recurring oral ulcers of unknown etiology. Oral ulcers may be different in number and size depending on the clinical presentation, which also determines the time needed for healing. Moreover, there are factors associated to outbreaks but not implicated in its etiopathogenesis. Whenoral aphthosis has a known etiology, it is not considered as recurrent aphthous stomatitis. The severity and the clinical presentation helps in the differential diagnosis. Treatment is symptomatic in recurrent aphthous stomatitis while, if there is an underlying systemic disease, the treatment of such disease is need in addition to topical treatment (AU)
Subject(s)
Humans , Male , Female , Oral Ulcer/complications , Oral Ulcer/diagnosis , Oral Ulcer/therapy , Recurrence , Stomatitis, Aphthous/complications , Stomatitis, Aphthous/diagnosis , Diagnosis, Differential , Chlorhexidine/therapeutic use , Stomatitis, Aphthous/epidemiology , Stomatitis, Aphthous/prevention & control , Stomatitis, Aphthous/physiopathology , Oral Ulcer/etiologyABSTRACT
Recurrent aphthous stomatitis consists on recurring oral ulcers of unknown etiology. Oral ulcers may be different in number and size depending on the clinical presentation, which also determines the time needed for healing. Moreover, there are factors associated to outbreaks but not implicated in its etiopathogenesis. When oral aphthosis has a known etiology, it is not considered as recurrent aphthous stomatitis. The severity and the clinical presentation helps in the differential diagnosis. Treatment is symptomatic in recurrent aphthous stomatitis while, if there is an underlying systemic disease, the treatment of such disease is need in addition to topical treatment.
Subject(s)
Stomatitis, Aphthous , Anti-Ulcer Agents/therapeutic use , Diagnosis, Differential , Humans , Rheumatology , Stomatitis, Aphthous/diagnosis , Stomatitis, Aphthous/drug therapy , Stomatitis, Aphthous/epidemiology , Stomatitis, Aphthous/etiologyABSTRACT
BACKGROUND AND OBJECTIVE: We intended to describe the clinical characteristics, treatment and evolution of 26 patients with adult onset Still's disease. PATIENTS AND METHOD: This was a retrospective study (1984-2004). The clinical records of patients with adult onset Still's disease were reviewed. RESULTS: Twenty six patients were included. Most frequent clinical characteristics were: fever (100%), arthritis (81%), rash (92%) sore throat (92%) and lymphadenopathy (42%). Aspirin controlled the disease in 27% of patients, prednisone was needed in 70% and methotrexate was added in 50% cases. A monocyclic course was seen in 54% and polycyclic in 46% patients. CONCLUSIONS: The clinical characteristics were similar to previous series. A febrile polyarthritis was the most frequent presentation form. A polycyclic course was found in 58% of cases and it seems to be associated with poor prognosis and need for aggressive treatment.
