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1、NEXT口腔粘膜溃疡类疾病Oral Ulcerative diseasesBACK TO INDEXIntroductionBehets diseaseTraumatic Ulcer self-healing in about a weekNEXTNEXTthermal burn7) Traumatic bulla & traumatic hematoma caused by biting or prosthetic appliances buccal mucosa, soft palate, lips, tongue self-healing in 4-6 days NEXTtraumati
2、c bullaNEXT4. Diagnosis historyclinical featuresNEXTcarcinoma, syphilis, tubercular ulcer, major aphthous ulcer thrombocytopenia, thrombasthenia pemphigus, cicatricial pemphigoid 5. Differential diagnosis malignant ulcerNEXTTraumatic ulcerMjAUmalignant ulcertubercular ulceretiologyfeature of ulcer m
3、orphology of ulcerpathology5. Differential diagnosisBACK6. Treatment Removal of the traumatic factorsTopical measures NEXTV. Reiters Syndrome1. PrefaceReiters syndrome is a disease of unknown cause that predominantly affects young men, 20-30 years of age. NEXT2. Etiologyunknown3. Clinical feature Ma
4、jor symptoms: nongonococcal urethritis, conjunctivitis, arthritis Other symptoms: oral ulcer, circinate balanitis, keratoderma blennorrhagicumNEXTNEXToral lesion4. Diagnosis history clinical criteriaNEXT5. Differential diagnosis The differential diagnosis the oral lesions includes erythema multiform
5、e, Stevens-Johnson syndrome, psoriasis, Behets Disease, geographic tongue, and stomatitis. NEXT6. Treatment It is nonspecific and symptomatic. Non-steroidal anti-inflammatory drugs, salicylates, and tetracyclines may be helpful, cyclosporin, azathioprine, methotrexate, and systemic steroid in severe
6、 case. BACKSummary n To compare the characteristics of major Aphthous ulcer, traumatic ulcer, carcinoma and tuberculous ulcer. (etiology, pathology, clinical feature, treatment, prognosis) .n To master the treatment principle of ulcerative diseases by taking RAU for example. NEXTn To master the effe
7、ct, usage, contraindication and side-effect of corticosteroid in treating ulcerative diseases. n To establish the conception of oral mucosal syndrome by means of learning Behets disease. NEXTQuestionsn Which is the most common form of Recurrent Aphthous Ulcer? Whats the characteristic of its lesion?
8、 n Whats the effect of corticosteroid in treating oral ulcerative diseases? n Whats the primary treatment to traumatic ulcer? NEXTn Taking major Aphthous ulcer and carcinoma for example, try to tell the difference between benign ulcer and malignant ulcer. n What are the oral lesions of Behets Disease and Reiters Syndrome ? What are their clinical systemic features? BACK
