Stomatitis aftosa rekuren oleh karena anemia

Abstract

Recurrent aphthous stomatitis (RAS) is the common lesion in ABSTRAKStomatitis aftosa rekuren (SAR) adalah lesi yang paling sering muncul dalam rongga mulut. Etiologi SAR belum diketahui dengan jelas, diduga karena adanya faktor pemicu seperti genetik, trauma, imunologi yang abnormal, penyakit saluran pencernaan, hormonal, HIV, stres, infeksi, dan defisiensi nutrisi. Pada kasus ini dilaporkan pasien dengan ulser minor, multipel, sakit, warna putih di kelilingi kemerahan pada mukosa bibir bawah dan atas, palatum, serta lidah. Sehari sebelum ulser muncul, ada gejala prodromal berupa demam, lemah, lesu, dan pusing. Pasien berusia 19 tahun, laki-laki, mahasiswa dan memiliki riwayat sariawan hampir tiap bulan. Diagnosis klinisnya adalah stomatitis herpetika primer Diagnosis bandingnya adalah SAR. Hasil pemeriksaan darah lengkap sebagai pemeriksaan penunjang menunjukkan diagnosis akhir pasien adalah menderita anemia. Terapi yang diberikan adalah obat kumur benzydamin HCl dan secara oral suplemen yang berisi zat besi, vitamin dan mineral. Disimpulkan bahwa anemia dapat menjadi faktor pencetus timbulnya SAR. Dengan demikian penting bagi dokter gigi untuk mengetahui gejala klinis dan kelainan akibat anemia dalam mulut, sehingga dokter gigi dapat memberikan terapi dengan tepat.

The management of chronic traumatic ulcer in oral cavity

“…There was not the normal keratinezed, atrophy, and disruption of the healing process. 3 The malnutrition condition made the ulcer was difficult to get the healing process, so in this case it aggravated the ulcer for recovering. The result of CBC was showed not severe anemia, so the anemia was not…”

“…During the healing phase they frequently develop a 'keratotic halo'. [2][3][4] The differential diagnosis of the traumatic ulcer are recurrent aphthous stomatitis, squamous cell carcinoma, and tuberculosis ulcer.…”

The management of herpes labialis, oral thrush and angular cheilitis in cases of oral diabetes

“…Moreover, vitamin B12 and folic acid act as pivotal cofactors in blood cell deoxyribonucleic acid (DNA) synthesis. 11 The patient initially complained of lower lip ulceration accompanied by fever which was diagnosed as herpes labialis. He was prescribed acyclovir which can prevent virus replication through three mechanisms: phosphorylation of acyclovir to phosphate derivates within the cell via viral thymidine kinase, inhibition of DNA polymerase by acyclovir activation, and termination of chain elongation by eliminating cyclic sugar from acyclovir triphosphate.…”

Angular cheilitis and oral pigmentation as early detection of Peutz-Jeghers syndrome

“…This causes depapilation of the tongue in patients, a condition often occurring in individuals suffering from a deficiency of vitamin B12, folate, and iron. [12][13][14] The therapy used to treat angular cheilitis consists of the topical application of Miconazole gel four times a day for two weeks. Supplements are administered orally as a maintenance dose once a day for a month.…”

“…The patient was referred to an internist for treatment of digestive disorders. 13,14 Patients with PJS are at greater risk of developing gastrointestinal and non-gastrointestinal malignancies. Other non-gastrointestinal sites of malignancy include: the pancreas, lung, breast, uterus, cervix, ovary, testis and thyroid.…”