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. 2018;154(2):165-171.
doi: 10.24875/GMM.18002503.

[Clinical study of 200 patients with recurrent aphthous stomatitis]

[Article in Spanish]
Alberto Rodríguez-Archilla  1 , Tarik Raissouni  2
Affiliations
Free article

[Clinical study of 200 patients with recurrent aphthous stomatitis]

[Article in Spanish]
Alberto Rodríguez-Archilla et al. Gac Med Mex. 2018.
Free article

Abstract
in English, Spanish

Introduction: Recurrent aphthous stomatitis (RAS) affects approximately 20% of the general population. Its etiology is still unknown.

Objective: To analyze this entity's clinical features.

Method: Data such as age, gender, family history of RAS, age at first episode onset, prodromal symptoms, number, size, morphology and localization of lesions, RAS clinical form, annual rate of recurrence, predisposing factors, symptoms and time for symptoms and lesions disappearance were assessed in 200 patients with RAS.

Results: Patients had RAS minor forms. Main clinical characteristics were family history of RAS (89%), first episode at ≥ 10 years of age (69%), prodromal symptoms (66%), one lesion per episode (63%), < 0.5 cm lesions (64%), rounded morphology (55%), localization at the tongue (27%), 3 recurrent episodes per year (36%), stress as predisposing factor (34%), symptom disappearance in 2 days (54%) and healing of lesions in 8 days (40%).

Conclusion: Even when RAS is a common disorder of the oral mucosa, there is no curative treatment available. Therapeutic measures seek to reduce the pain and size of lesions, accelerate the time of recovery and decrease the rate of relapses.

Introducción: La estomatitis aftosa recurrente (EAR) afecta aproximadamente a 20 % de la población general. Su etiología aún se desconoce.

Objetivo: Analizar las características clínicas de esta entidad.

Método: En 200 pacientes con EAR se analizó edad, sexo, historia familiar de EAR, edad de aparición del primer episodio, síntomas prodrómicos, número, tamaño, morfología y localización de las lesiones, forma clínica de EAR, tasa anual de recurrencia, factores predisponentes, sintomatología, tiempo de desaparición de los síntomas y las lesiones.

Resultados: Los pacientes tenían formas menores de EAR. Las principales características clínicas fueron historia familiar de EAR (89 %), primer episodio con ≥ 10 años de edad (69 %), síntomas prodrómicos (66 %), lesión por episodio (63 %), lesiones de < 0.5 cm (64 %), morfología redondeada (55 %), localización en lengua (27 %), tres episodios recurrentes anuales (36 %), estrés predisponente (34 %), desaparición de síntomas a los dos días (54 %) y curación de lesiones a los ocho días (40 %).

Conclusión: Aun cuando la EAR es un trastorno común de la mucosa bucal, no se dispone de un tratamiento curativo. Las medidas terapéuticas buscan reducir el dolor y tamaño de las lesiones, acelerar el periodo de recuperación y disminuir la recidiva.

Keywords: Enfermedades bucales; Estomatitis aftosa recurrente; Mouth diseases; Mucosa bucal; Oral mucosa; Recurrent aphthous stomatitis.

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