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Aftas

Definition: ulceration in mouth (++) or genitals
 
Clinical presentation
  • Painful ulceration with a depressed necrotic base that is yellowish or grayish in color, an infiltrated base and clear edges surrounded by a bright red inflammatory erythematous halo
 
Cause
  • Idiopathic
Behçet’s Disease
  • Enterocolopathiws
    • Celical disease
    • Crohn’s disease (cobblestone appearance)
    • ulcerative colitis
  • PFAPA syndrome (periodic Fever, Aphtous stomatities, pharyngitis and cervical adenitis)
  • Most autoinflammatory diseases
  • Folate, vitamin B12, iron and zinc deficiencies
  • Conditions involving a functional abnormality in polynuclear cells (cyclic neutropenia)
 
notion image
 
DDx
  • Traumatic ulceration
  • Leukemia
  • SLE
Reactive Arthritis | Oculo-urethrosynovial syndrome | Fiessinger-Leroy ou Reiter syndrome

Tratamento

  • Celestone 0.5mg/ml solução oral
  • Sucralfato saqueta - deixar o pĂł na boca, sem engolir
  • Fluticasona nebulizado
  • Nistatina 10d 5mL 4x/dia 100000UI/mL
  • AloclairÂź Plus antes das refeiçÔes Gel nas mais superficiais, Spray nas mais profundas (nos pilares amigdalinos)
  • Lidocaine gel