A Retrospective Evaluation of Patients with Recurrent Aphthous Stomatitis
Journal Title: HASEKİ TIP BÜLTENİ - Year 2017, Vol 55, Issue 1
Abstract
Aim: To determine the factors in the etiology of recurrent aphthous stomatitis (RAS) and to evaluate patients in the terms of RAS associated systemic disorders especially Behçet’s disease. Methods: Patients with RAS, who were followed up in Bartın State Hospital Dermatology Clinic between July 2013 and April 2015, were retrospectively evaluated. Results: A total of 123 patients (86 female, 37 male) were included in this study. Thirteen (106%) patients were children. The mean age of patients was 34.5±14.7 years (range: 8-69 years). Minor aphthous somatitis was the most frequent clinical type (68.3%). Family history was positive in 52.8% of patients. The triggering factors in the etiology of RAS were stress (54.5%), trauma (40.2%), gingivitis (29.3%), food (9.8%), medicines (5.7%), menstruation in female patients (3.3%), and throat infections (2.4%). Nutritional deficiencies were found in 39% of patients. There was a statistically significant difference in attack frequency (p=0.017) and throat infection history (p=0.029) between adults and pediatric patients. Fourteen (11.4%) patients were diagnosed with Behçet’s disease. When we compared the RAS patients diagnosed with Behçet’s disease and the other RAS patients, a significant difference was found in pathergy test (p<0.001) and ferritin levels (p=0.020). Conclusion:Patients with RAS should be followed up for a long time for systemic disorders, especially for Behçet’s disease, accompanying RAS.
Authors and Affiliations
Filiz Topaloğlu Demir, Mustafa Demir, Zafer Türkoğlu, Nazlı Dizen Namdar
Keywords
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- EP ID EP227927
- DOI 10.4274/haseki.3231
- Views 123
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