Diseases of Ear, Nose and Throat by P L. Dhingra Dhingra & Shruti Dhingra

Author:P L. Dhingra Dhingra & Shruti Dhingra [Dhingra, P L. Dhingra & Dhingra, Shruti]
Language: eng
Format: epub
Tags: Ear, Nose, Throat, Diseases, Head, Neck, Surgery, Textbooks, Medical
ISBN: 9788131248843
Google: xxfTtAEACAAJ
Amazon: 8131248844
Publisher: Vibhatsu
Published: 2017-09-24T18:30:00+00:00

Aetiology of aphthous ulcers is unknown. It may be an autoimmune process, nutritional deficiency (vitamin B12, folic acid and iron), viral or bacterial infection, food allergies or due to hormonal changes or stress.

Aphthous ulcers can be differentiated from viral ulcers by their frequent recurrence, involvement of movable mucosa as on the soft palate or cheek, and the absence of constitutional symptoms like fever, malaise and enlargement of cervical nodes.

Treatment consists of topical application of steroids and cauterization with 10% silver nitrate. In severe cases, 250 mg of tetracycline dissolved in 50 mL of water is given as mouth rinse and then to be swallowed, four times a day. Local pain can be relieved with lignocaine viscous.

2. BEHÇET SYNDROME (OCULO-ORO-GENITAL SYNDROME). It is characterized by a triad of (i) aphthous-like ulcers in the oral cavity, (ii) enital ulcerations and (iii) uveitis. The edge of the ulcer is characteristically punched out. There may also be lesions of the skin, joints and central nervous system.

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