上海交通大学-口腔医学口腔粘膜病学课件溃疡类疾病.ppt

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OralUlcerativediseasesBACKTOINDEX

IntroductionBeh?et’sdiseaseTraumaticUlcerTraumaticBullaRecurrentAphthousUlcerSummaryQuestionsBACKReiter’sSyndrome

I.IntroductionUlcersareoneofthemostcommontypesoflesionsseeninoralmucosa.2.Thedifferencebetweenulceranderosion.NEXT

ulcererosionNEXT

ulcererosioncontinuityofepitheliumbrokenseveresuperficialbasalcellsinvolvedfreeborderclearuncleardiseasesRAUBehcet’sdiseaseSyphilisPemphigusHerpessimplexBACKComparison

RecurrentAphthousUlcer

1.Preface?NamerecurrentaphthousulcerRAUrecurrentaphthousstomatitisRASrecurrentoralulcerROUNEXT

?TypingLehner’sclassificationminoraphthousulcer〔MiAU〕majoraphthousulcer〔MjAU〕herpetiformulcer〔HU〕?Characteristicrecidivityself-healingperiodicityNEXT

2.Etiologyunknown?immunity:cellularimmunity,humoralimmunity,complement,autoantibody?heritage?infection：HSV?environment:psychologyNEXT

?denutrition：iron,copper,zinc,folicacid,VitB12?hyperoxidedismutase?microcirculationdisturbance：lip,nail,apexlinguae?systemicfactor：ulcerationofstomach、hepatitis、colonitis、diarrhoeaNEXT

3.ClinicalfeaturesminoraphthousulcermajoraphthousulcerherpetiformulcerNEXT

NEXTMiAUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-5110positionnonkeratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswellingfeverheadachelymphnodesswelling

MinoraphthousulcersNEXT

NEXT

NEXTMiAUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-5110positionnonkeratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswellingfeverheadachelymphnodess