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Vol. 7. Issue 5.
Pages 323-328 (September - October 2011)
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Vol. 7. Issue 5.
Pages 323-328 (September - October 2011)
Review Article
DOI: 10.1016/j.reumae.2011.05.002
Recurrent Aphthous Stomatitis in Rheumatology
La aftosis oral recurrente en Reumatología
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Gabriel Riera Matutea,??
Corresponding author
, Elena Riera Alonsob
a Servei de Reumatologia, Centre d’Especialitats Güell, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain
b Servei de Reumatologia, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain
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Tables (4)
Table 1. Main Causes of Oral Ulcers.
Table 2. Main Causes of Oral Ulcers According to Their Presentation.
Table 3. Clinical Classification of Ulcers.
Table 4. Drugs That Produce Oral Ulcers.
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Abstract

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.

Keywords:
Oral ulcers
Recurrent aphthous stomatitis
Complex aphthosis
Resumen

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.

Palabras clave:
Aftosis oral recurrente
Estomatitis aftosa recurrente
Aftosis compleja

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