国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (2): 145-149.doi: 10.7518/gjkq.2018.02.005

• 口腔黏膜专栏 • 上一篇    下一篇

儿童复发性阿弗他溃疡病因学的研究进展

蔡东霖1, 卢锐1,2   

  1. 1.口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室,武汉大学口腔医学院 武汉 430079
    2.武汉大学口腔医院口腔黏膜科 武汉 430079
  • 收稿日期:2017-09-21 修回日期:2017-11-02 出版日期:2018-03-01 发布日期:2018-03-01
  • 通讯作者: 卢锐,副主任医师,博士,Email:lurui@whu.edu.cn
  • 作者简介:蔡东霖,硕士,Email:2012302220028@whu.edu.cn
  • 基金资助:
    武汉中青年医学骨干人才培养工程(2017年第五批)

Research progress on the etiology of recurrent aphthous ulcer in children

Cai Donglin1, Lu Rui1,2   

  1. 1.The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) &Key Laboratory of Oral Biomedicine Ministry of Education, School of Stomatology, Wuhan University, Wuhan 430079, China;
    2.Dept. of Oral Medicine, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2017-09-21 Revised:2017-11-02 Online:2018-03-01 Published:2018-03-01
  • Supported by:
    This study was supported by the Cultivation Project of Wuhan Young and Middle-aged Backbone Talent in Medicine (the fifth batch of 2017).

摘要: 复发性阿弗他溃疡(RAU)是最常见的口腔黏膜溃疡类疾病,虽然在各个年龄段均可发病,但其首发多见于儿童期。RAU儿童作为该病患者中的特殊群体,在病因学上具有一定的特殊性。目前已知的与儿童RAU有关的病因包括遗传因素、局部创伤、心理因素、营养缺乏、微生物感染、免疫反应异常等,此外,一些儿童RAU还与多种全身系统疾病有关,本文针对儿童RAU病因学的研究进展作一综述。

关键词: 复发性阿弗他溃疡, 儿童, 病因

Abstract: Recurrent aphthous ulcer (RAU) is the most common ulcerative disease of the oral mucosa. Although RAU appears in all ages, the onset of RAU peaks during childhood. Childhood RAU, as a special patient group, displays distinct etiology. The etiology of childhood RAU includes genetic, local trauma, psychologic, nutritional factors, microbial infection, and abnormal immunologic response. Moreover, some cases of childhood RAU are associated with several systemic diseases. This article presents the current progress on the etiology of RAU in children.

Key words: recurrent aphthous ulcer, children, etiology

中图分类号: 

  • R781.5
[1] Chavan M, Jain H, Diwan N, et al.Recurrent aphthous stomatitis: a review[J]. J Oral Pathol Med, 2012, 41(8):577-583.
[2] Akintoye SO, Greenberg MS.Recurrent aphthous stomatitis[J]. Dent Clin North Am, 2014, 58(2):281-297.
[3] Lehner T.Autoimmunity in oral diseases, with special reference to recurrent oral ulceration[J]. Proc R Soc Med, 1968, 61(5):515-524.
[4] Sklavounou-Andrikopoulou A, Mitsea AG, Donta-Bakoyianni C.Study of recurrent aphthous ulcers in a Greek population of children and adolescents[J]. Hellenic Dent J, 2001, 11:33-38.
[5] Krisdapong S, Sheiham A, Tsakos G.Impacts of re-current aphthous stomatitis on quality of life of 12- and 15-year-old Thai children[J]. Qual Life Res, 2012, 21(1):71-76.
[6] Slebioda Z, Szponar E, Kowalska A.Etiopathogenesis of recurrent aphthous stomatitis and the role of immu-nologic aspects: literature review[J]. Arch Immunol Ther Exp (Warsz), 2014, 62(3):205-215.
[7] Field EA, Brookes V, Tyldesley WR.Recurrent aph-thous ulceration in children—a review[J]. Int J Pae-diatr Dent, 1992, 2(1):1-10.
[8] Montgomery-Cranny JA, Wallace A, Rogers HJ, et al.Management of recurrent aphthous stomatitis in children[J]. Dent Update, 2015, 42(6):564-566.
[9] Jurge S, Kuffer R, Scully C, et al.Mucosal disease series. Number Ⅵ. Recurrent aphthous stomatitis[J]. Oral Dis, 2006, 12(1):1-21.
[10] 尹文国. 儿童复发性口疮血清微量元素与免疫功能检测结果分析[J]. 中国医药导报, 2012, 9(4):85-86.
Yin WG.Analysis of serum trace elements and immunity test results in the children with recurrent aphtha[J]. Chin Med Her, 2012, 9(4):85-86.
[11] 黄晓佳, 何晓雷, 吴志芳, 等. 复发性口腔溃疡儿童的T细胞亚群及微量元素的研究[J]. 全科医学临床与教育, 2009, 7(4):359-360, 363.
Huang XJ, He XL, Wu ZF, et al.Study of T cells subpopulation and trace elments in children with recurrent oral ulcer[J]. Clin Edu Gen Pract, 2009, 7(4):359-360, 363.
[12] Gürkan A, Özlü SG, Altıaylık-Özer P, et al. Recurrent aphthous stomatitis in childhood and adolescence: a single-center experience[J]. Pediatr Dermatol, 2015, 32(4):476-480.
[13] Fritscher AM, Cherubini K, Chies J, et al.Associa-tion between Helicobacter pylori and recurrent aph-thous stomatitis in children and adolescents[J]. J Oral Pathol Med, 2004, 33(3):129-132.
[14] Oda D.Helicobacter pylori (HP) may be involved in the pathogenesis of recurrent aphthous ulcers in children and adolescents[J]. J Evid Based Dent Pract, 2005, 5(1):45-46.
[15] Baccaglini L.Myths and evidence on the link between recurrent aphthous stomatitis and systemic diseases[J]. Oral Dis, 2012, 18(5):520.
[16] Manthiram K, Li SC, Hausmann JS, et al.Physicians’ perspectives on the diagnosis and management of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome[J]. Rheumatol Int, 2017, 37(6):883-889.
[17] Wekell P, Karlsson A, Berg S, et al.Review of auto-inflammatory diseases, with a special focus on perio-dic fever, aphthous stomatitis, pharyngitis and cervi-cal adenitis syndrome[J]. Acta Paediatr, 2016, 105(10): 1140-1151.
[18] Ali NS, Sartori-Valinotti JC, Bruce AJ.Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome[J]. Clin Dermatol, 2016, 34(4):482-486.
[19] Theodoropoulou K, Vanoni F, Hofer M.Periodic fe-ver, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome: a review of the patho-genesis[J]. Curr Rheumatol Rep, 2016, 18(4):18.
[20] Koné-Paut I.Behçet’s disease in children, an overview[J]. Pediatr Rheumatol Online J, 2016, 14(1):10.
[21] Nanthapisal S, Klein NJ, Ambrose N, et al.Paedia-tric Behçet’s disease: a UK tertiary centre experience[J]. Clin Rheumatol, 2016, 35(10):2509-2516.
[22] Krzywicka B, Herman K, Kowalczyk-Zając M, et al.Celiac disease and its impact on the oral health status-review of the literature[J]. Adv Clin Exp Med, 2014, 23(5):675-681.
[23] Marty M, Bailleul-Forestier I, Vaysse F.Recurrent aphthous stomatitis as a marker of Celiac disease in children[J]. Pediatr Dermatol, 2016, 33(2):241.
[24] Ferraz EG, Campos Ede J, Sarmento VA, et al.The oral manifestations of celiac disease: information for the pediatric dentist[J]. Pediatr Dent, 2012, 34(7): 485-488.
[25] Skrzat A, Olczak-Kowalczyk D, Turska-Szybka A.Crohn’s disease should be considered in children with inflammatory oral lesions[J]. Acta Paediatr, 2017, 106(2):199-203.
[26] Crippa R, Zuccotti GV, Mantegazza C.Oral manifesta-tions of gastrointestinal diseases in children. Part 2: Crohn’s disease[J]. Eur J Paediatr Dent, 2016, 17(2): 164-166.
[27] Chen Y, Fang L, Yang X.Cyclic neutropenia presen-ting as recurrent oral ulcers and periodontitis[J]. J Clin Pediatr Dent, 2013, 37(3):307-308.
[28] Magalhães MG, Bueno DF, Serra E, et al.Oral mani-festations of HIV positive children[J]. J Clin Pediatr Dent, 2001,25(2):103-106.
[29] Jose R, Chandra S, Puttabuddi JH, et al.Prevalence of oral and systemic manifestations in pediatric HIV cohorts with and without drug therapy[J]. Curr HIV Res, 2013, 11(6):498-505.
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