上海交通大学-口腔医学口腔粘膜病学PPT课件溃疡类疾病

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1、NEXT口腔粘膜溃疡类疾病OralUlcerativediseasesBACKTOINDEXIntroductionBehÇet’sdiseaseTraumaticUlcer&TraumaticBullaRecurrentAphthousUlcerSummary&QuestionsBACKReiter’sSyndromeI.IntroductionUlcersareoneofthemostcommontypesoflesionsseeninoralmucosa.2.Thedifferencebetweenulceranderosion.NEXTulcer

2、erosionNEXTulcererosioncontinuityofepitheliumbrokenseveresuperficialbasalcellsinvolvedfreeborderclearuncleardiseasesRAUBehcet’sdiseaseSyphilisPemphigusHerpessimplexBACKComparisonRecurrentAphthousUlcer1.Preface•NamerecurrentaphthousulcerRAUrecurrentaphthousstomatitisRASrecurrentor

3、alulcerROUNEXT•TypingLehner’sclassificationminoraphthousulcer（MiAU）majoraphthousulcer（MjAU）herpetiformulcer（HU）•Characteristicrecidivityself-healingperiodicityNEXT2.Etiologyunknown•immunity:cellularimmunity,humoralimmunity,complement,autoantibody•heritage•infection：HSV•environmen

4、t:psychologyNEXT•denutrition：iron,copper,zinc,folicacid,VitB12•hyperoxidedismutase•microcirculationdisturbance：lip,nail,apexlinguae•systemicfactor：ulcerationofstomach、hepatitis、colonitis、diarrhoeaNEXT3.ClinicalfeaturesminoraphthousulcermajoraphthousulcerherpetiformulcerNEXTNEXTMi

5、AUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-51>10positionnonkeratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswellingfeverheadachelymphnodesswellingMinoraphthousulcersNEXTNEXTNEX

6、TMiAUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-51>10positionnonkeratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswellingfeverheadachelymphnodesswellingMajoraphthousulcersNEXTPeri

7、adenitisMucosaNecroticaRecurrensNEXTMajoraphthousulcersNEXTMiAUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-51>10positionnonkeratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswelling

8、feverheadachelymphnodesswellingHerpetifo