口腔黏膜课件.ppt

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

2、on.NEXTulcererosionNEXTulcererosioncontinuityofepitheliumbrokenseveresuperficialbasalcellsinvolvedfreeborderclearuncleardiseasesRAUBehcet’sdiseaseSyphilisPemphigusHerpessimplexBACKComparisonRecurrentAphthousUlcer1.Preface•NamerecurrentaphthousulcerRAUrecurrentaphthous

3、stomatitisRASrecurrentoralulcerROUNEXT•TypingLehner’sclassificationminoraphthousulcer（MiAU）majoraphthousulcer（MjAU）herpetiformulcer（HU）•Characteristicrecidivityself-healingperiodicityNEXT2.Etiologyunknown•immunity:cellularimmunity,humoralimmunity,complement,autoantibo

4、dy•heritage•infection：HSV•environment:psychologyNEXT•denutrition：iron,copper,zinc,folicacid,VitB12•hyperoxidedismutase•microcirculationdisturbance：lip,nail,apexlinguae•systemicfactor：ulcerationofstomach、hepatitis、colonitis、diarrhoeaNEXT3.Clinicalfeaturesminoraphthousu

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

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

7、hnodesswellingfeverheadachelymphnodesswellingMajoraphthousulcersNEXTPeriadenitisMucosaNecroticaRecurrensNEXTMajoraphthousulcersNEXTMiAUMjAUHUfeatureyellowredconcavepainfulsmall(2-4mm)big(1-3cm)deepscarmultiplesmallcourse7-10days3-6weeks7-10daysnumber1-51>10positionnon

8、keratinizedoralmucosasoftpalatetonguelipmouthfloorsystemicsymptom—lymphnodesswellingfeverheadachelymphnodesswellingHerpetifo