DISEASES OF THE MUCOUS MEMBRANES OF THE ORAL CAVITY : The FIBRINOUS OR STOMATITIS APHTHOUS (STOMATITIS FIBRINOSA, S. APHTOSA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
By the AFL pathogens are staphylococci, streptococci, diplococci, often, however, one should keep in mind ultravirus. Amazed aphthous stomatitis children aged from 1 year to 3 years but can become sick and children earlier and later age. Amazed and sometimes adults, especially in severe debilitating diseases. Anatomically aphthous stomatitis is lobar (monoplanet) inflammation. Surface epithelial cells become necrotic limited foci on the surface of the mucosa beneath the epithelium is deposited fibrous-reticulate mass of fibrin, in the submucous tissue swelling, kruglosutochno infiltration.
General malaise, fatigue, low-grade fever, chilliness. On the mucous membrane, often in the transition folds, the edges or the bottom surface of the tongue, rarely on the gums are clearly visible small white or yellowish plaques, mostly oval or round shape. Plaque sit on several erythematous mucosa. Especially the sharp redness is observed in the form of a rim around the plaque, to the periphery of the redness decreases. Plaques are rarely isolated. During the inspection found plaques in different stages of development: some came, others are in the process of wilting. In reverse the development of fibrinous film plaque begins to soften and gradually peel off without leaving a ulcer or scar. Separate aphthous patches can heal within a few days, but the disease itself lasts longer (2 - 3 weeks), as new aphthae. In addition to the phenomena of the General intoxication, the patient is disturbed speech act, especially in lesions of the tongue, difficulty eating, swallowing, and each plaque itself is extremely painful, but particularly enhances the tenderness the slightest touch.
For. Aphthous stomatitis occurs as an acute inflammatory process. Often ends in recovery, but maybe the progression of the disease, the merging of individual plaques, penetration of infection into the deeper layers of the mucosa (see ulcerative stomatitis). May repeat canker sores during the year, or even month several times - chronic recurrent aphthous stomatitis, a single sprue.
Cauterization of the AFL with silver nitrate (5 - 10% solution), warm soda rinse and wash, baby powder white clay. Treatment of the underlying suffering with chronic recurrent aphthous stomatitis. It is necessary to investigate a feces on eggs of worms and in case of detection to appoint anthelminthic treatment. Inside is assigned purified sulphur in small doses (0.1 to 0.2). In some cases it is possible to change the course of the disease by inoculation of smallpox. Probivka in such cases should be regarded as non-specific immunization.