aphtha

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stomatitis

 [sto″mah-ti´tis] (pl. stomati´tides)
inflammation of the mucosa of the mouth; it may be caused by any of numerous diseases of the mouth or it may accompany another disease. Both gingivitis and glossitis are forms of stomatitis.

Causes. The causes of stomatitis vary widely, from a mild local irritant to a vitamin deficiency or infection by a possibly dangerous disease-producing organism. Inflammation may arise from actual injury to the inside of the mouth, as from cheek-biting, jagged teeth, tartar accumulations, and badly fitting dentures. Irritating substances, including alcohol, and tobacco, may also cause stomatitis. Other causes are infectious bacteria, such as streptococci and gonococci or those causing necrotizing ulcerative stomatitis, diphtheria, and tuberculosis; the fungus causing thrush; or the viruses causing herpes simplex and measles. Extreme vitamin deficiencies can result in mouth inflammation, as can certain blood disorders. Poisoning with heavy metals, such as lead or mercury, can also cause stomatitis.
Symptoms. There is generally swelling and redness of the tissues of the mouth, which may become quite sore, particularly during eating. The mouth may have an unpleasant odor. In some types of stomatitis the mouth becomes dry, but in others there is excessive salivation. Ulcerations may appear, and, in extreme cases, gangrene (gangrenous stomatitis).

Other forms of stomatitis may occasionally cause more severe symptoms, including chills, fever, and headache. Sometimes bleeding or white patches in the mouth can be seen. In thrush, the symptoms themselves may be slight (white spots in the mouth resembling milk curds) but the disease may give rise to serious infections elsewhere in the body. In some cases, stomatitis causes inflammation of the parotid glands.

Stomatitis resulting from certain diseases presents special identifying symptoms. Syphilitic stomatitis produces painful ulcers in the mouth; in scarlet fever the tongue first has a strawberry color, which then deepens to a raspberry hue; in measles, Koplik's spots appear.
Treatment and Prevention. The treatment varies according to the cause. When the inflammation is caused by anemia, vitamin deficiency, or any infection of the body, both the underlying disease and the stomatitis are treated. Antibiotics often are effective against the infection and prevent its spreading to the parotid glands. Severe stomatitis can be a side effect of chemotherapy and radiation to the head and neck as treatment for cancer. Measures to alleviate the inflammation and promote healing include increasing fluid intake and using artificial saliva to minimize dryness and help buffer acidity in the mouth, avoiding liquids and foods that are chemically irritating or extremely hot, and frequent and consistent mouth care.



With proper care, many cases of stomatitis can be prevented. Cleanliness is essential, especially of the mouth, teeth, dentures, and feeding utensils. Infants may acquire mouth infection from the mother's oral flora, dirty bottles, or the mother's nipples. In the case of a prolonged fever or of any severe general illness, dryness of the mouth should be avoided by ingestion of increased amounts of fluids.
angular stomatitis superficial erosions and fissuring at the angles of the mouth; it may occur in riboflavin deficiency and in pellagra or result from overclosure of the jaws in denture wearers. Called also perlèche.
aphthous stomatitis recurrent aphthous stomatitis.
denture stomatitis inflammation of the oral mucosa seen in some patients with new dentures or with old, ill-fitting ones, caused by Candida albicans; characterized by redness, swelling, and pain of mucosa that is in contact with the denture. Called also chronic atrophic candidiasis and denture sore mouth.
gangrenous stomatitis see noma.
herpetic stomatitis herpes simplex involving the oral mucosa and lips, characterized by the formation of yellowish vesicles that rupture and produce ragged painful ulcers covered by a gray membrane and surrounded by an erythematous halo.
stomatitis medicamento´sa stomatitis due to an allergic reaction to drugs ingested, absorbed through the skin or mucosa, or given by hypodermic injection. Principal symptoms include vesicles, erosion, ulcers, erythema, purpura, angioedema, burning, and itching.
recurrent aphthous stomatitis a recurrent disease of unknown etiology, characterized by one or more small round or oval ulcer(s) on the oral mucosa, covered by a grayish fibrinous exudate and surrounded by a bright red halo. The lesions usually persist for 7 to 14 days and then heal without scarring. Called also aphthae, aphthous stomatitis, and canker sore.

aph·tha

, pl.

aph·thae

(af'thă, af'thē), Avoid the misspelling/mispronunciation aptha.
1. In the singular, a small ulcer on a mucous membrane.
2. In the plural, stomatitis characterized by intermittent episodes of painful oral ulcers of unknown etiology that are covered by gray exudate, are surrounded by an erythematous halo, and range from several millimeters to 2 cm in diameter; they are limited to oral mucous membranes that are not bound to periosteum, occur as solitary or multiple lesions, and heal spontaneously in 1-2 weeks. Synonym(s): aphthae minor, aphthous stomatitis, canker sores, recurrent aphthous stomatitis, recurrent aphthous ulcers, recurrent ulcerative stomatitis, ulcerative stomatitis
[G. ulceration]

aphtha

/aph·tha/ (af´thah) pl. aph´thae   [L.] (usually plural) small ulcers, especially the whitish or reddish spots in the mouth characteristic of aphthous stomatitis.
Bednar's aphthae  symmetric excoriation of the posterior hard palate in infants.
contagious aphthae  foot-and-mouth disease.

aphtha

[af′thē] pl. aphthae
Etymology: Gk, aphtha, eruption
a small, shallow, painful ulceration that usually affects the oral mucosa, but not underlying bone. Aphthae occasionally may affect other body tissues, including those of the GI tract and the external genitals. They do not appear to be infectious, contagious, or sexually transmitted. See also aphthous stomatitis,foot-and-mouth disease. aphthous, adj.

aph·tha

, pl. aphthae (af'thă, -thē)
1. In the singular, a small ulcer on a mucous membrane.
2. In the plural, stomatitis characterized by episodes of painful oral ulcers of unknown etiology that are covered by gray exudate, are surrounded by an erythematous halo, and that heal spontaneously in 1-2 weeks.
Synonym(s): aphthae minor, aphthous stomatitis, canker sores, recurrent aphthous ulcers, recurrent ulcerative stomatitis, ulcerative stomatitis.
[G. ulceration]

aph·tha

, pl. aphthae (af'thă, -thē) Avoid the misspelling/mispronunciation aptha.
1. In the singular, a small ulcer on a mucous membrane.
2. In the plural, stomatitis characterized by intermittent episodes of painful oral ulcers of unknown etiology that are covered by gray exudate, are surrounded by an erythematous halo, and range from several millimeters to 2 cm in diameter; they are limited to oral mucous membranes that are not bound to periosteum, occur as solitary or multiple lesions, and heal spontaneously in 1-2 weeks.
Synonym(s): aphthae minor, aphthous stomatitis, canker sores, recurrent aphthous stomatitis, recurrent aphthous ulcers, recurrent ulcerative stomatitis, ulcerative stomatitis.
[G. ulceration]

aphtha (af´thə),

n (aphthous stomatitis), 1. a small ulcer on the mucous membrane.
-hae
n.pl 2. vesicles that undergo subsequent ulceration and are surrounded by a raised erythematous area.
aphtha, Bednar's
n.pr (pterygoid ulcer), an ulcer on the soft palate near the greater palatine foramen; seen in newborns.
aphtha, Mikulicz'
n.pr a recurrent ulceration of the oral mucosa, resembling herpes. See also periadenitis mucosa necrotica recurrens.
aphtha, recurrent,
aphtha, recurrent scarring,

aphtha

pl. aphthae [L.] see foot-and-mouth disease.

Patient discussion about aphtha

Q. Is it possible to prevent appearance of oral aphthae? I get these a lot and lately I've heard it comes as a result of stress or weak immune system. Is that true? Is there a way to make it go away forever????? anyone who has ever had this annoying thing in his mouth knows what I'm talking about... I know all the possible curing ways- I'm looking for prevention now...thanx!

A. welcome to my life! every time the air get's a little dry i get 1-3 aphthae and can't eat for the next 4-6 days. so i investigated a little, and i'm sorry but right now no one really knows what causes them. they know that from some reason the body get's an immune reaction in the oral mucosa and that causes an ulcer. but a friend of mine went to an Ayurveda therapist that told him to stop eating tomatoes and eggplants (in any way, cooked,baked,fried) and he says he stop getting aphthae. so you might try Ayurveda for prevention. it could help...

Q. aphthous stomatitis can someone please explain me what it is? and what is the best way to treat it?

A. A canker sore (aphthous stomatitis) is an illness that causes small ulcers to appear in the mouth, usually inside the lips, on the cheeks, or on the tongue. What causes aphthous stomatitis (canker sores)?
The exact cause of this disease is not known. There are many factors that are thought to be involved with the development of canker sores, including:

Weakened immune system
Certain allergies may cause the lesions to appear, such as:
Coffee
Chocolate
Cheese
Nuts
Citrus fruits
Potatoes
Stress
Viruses and bacteria

The following are the most common symptoms of aphthous stomatitis. However, each child may experience symptoms differently. Symptoms may include:
Ulcers in the mouth, usually inside the lips, on the cheeks, or on the tongue
Ulcers that are covered with a yellow layer and have a red base
For the full article:
http://www.cincinnatichildrens.org/health/info/oral/diagnose/aphthous-stomatitis.htm Hope this helps.



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