Role of the stomatologist in the therapeutic approach of aphtosis in Behçet's disease
DOI:
https://doi.org/10.5281/zenodo.2536556Keywords:
Behçet's disease, Oral ulcers, aphthous stomatitisAbstract
Introduction: Aphthae and oral ulcers are a frequent reason for consulting the stomatologist. Aphthous are a particular form of oral ulceration. Aphtosis is defined by the recurrent nature of multiple aphthae that progress through episodes of 3-10 days and are repeated at least twice a year.
Objective: To describe the main aspects of the Behçet disease that could be useful to the stomatologist.
Development: Behçet's disease is an immune-mediated systemic vasculitis characterized by a characteristic triad of ocular lesions, recurrent oral and genital ulcers. Oral aphtosis and Behçet's disease seem to be due to the same pathogenic mechanism, but we still have to find the reasons why the former is limited to the oral cavity and the latter is systemic. Because recurrent oral ulcers are found in the same way in this disease and EB, it should be considered as a differential diagnosis of EB.
Conclusions: The role of stomatologists is important to establish the diagnosis of Behçet's disease, since they could be the first to detect it. Recurrent oral ulcers are a common initial symptom of EB. A multidisciplinary approach is required to diagnose and treat the disease.
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References
Vaillant L, Samimi M, Parent D. Aftas, aftosis, enfermedad de Behçet. EMC - Dermatología. 2016;50(2):1-14.
Scully C. Aphthous ulceration. N Engl J Med. 2006;355:165-72.
Vaillant L, Bernez A. Aftas y aftosis. EMC - Tratado de Medicina. 2009;13(4):1-7.
Castillo González W, Gonzalez-Argote J, Hernández Estévez J. Enfermedad de Behçet. Rev Cubana de Reumatol. 2014;16(3):309-21.
Devatchi F, Assaad‐Khalil S, Calamia KT, Crook JE, Sadeghi‐Abdollahi B, Schirmer M, et? al. The International Criteria for Behçet’s Disease (ICBD): a collaborative study of 27 countries on the sensitivity and specificity of the new criteria. JEADV. 2014;28:338-47.
Yazici Y, Yazici H. Behçet’s Syndrome [Internet]. New York: Springer Science + Business Media: LLC; 2010 [citado 20 de septiembre de 2018]. Disponible en: http://doi.org/10.1007/978-1-4419-5641-5_1
Morales-Angulo C, Vergara Pastrana S, Obeso-Agüera S, Acle L, González-Gay MÁ. Manifestaciones otorrinolaringológicas en pacientes con enfermedad de Behçet. Acta Otorrinolaringológica Española. 2014;65(1):15-21.
Molina RA, Huerta-Rosario A, Alva Díaz CA, Mejía Rojas KK, Mori N, Romero Sánchez R. Enfermedad de neuro-Behçet en Perú: reporte de caso y revisión de la literatura. Medwave. 2017;17(05):e6978.
Reis TRC, Nogueira BML, Domínguez MCL, de Menezes SAF, da Silva e Souza P de AR, Menezes TO de A. Manifestaciones Orales en Pacientes Reumatológicos: una Revisión de los Conocimientos. Int J Odontostomat. 2015;9(3):413-8.
Hernández R, Lorely D. Manifestaciones orales de las enfermedades sistémicas. Reflexión médica y revisión bibliográfica. Acta Med Cent. 2016;10(1):68-74.
Schemel-Suárez M, López López J, Chimenos Küstner E. Úlceras orales: diagnóstico diferencial y tratamiento. Med Clin (Barc). 2015;145(11):499-503.
Solís Cartas U, García González V, Bascó EL, Barbón Pérez OG, Quintero Chacón G, Muñoz Balbín M. Manifestaciones bucales relacionadas con el diagnóstico de enfermedades reumáticas. Rev Cubana Estomatol. 2017;54(1):72-83.
Patoni NA, Sitheeque MAM, Sarsito AS, Soegyanto AI, Wimardhani YS. Role of Dentists in the Management of Behcet’s Disease: A Case Report. J Dent Indones. 2018;25(2):125-9.
Riera Matute G, Riera Alonso E. La aftosis oral recurrente en Reumatología. Reumatol Clin. 2011;7(5):323-8.
Rogers RS. Recurrent Aphthous Stomatitis: Clinical Characteristics and Evidence for an Immunopathogenesis. Journal of Investigative Dermatology. 1977;69(6):499-509.
Bermúdez LS, García MH, Labrada MR. Úlceras bucales como manifestación de la enfermedad de Behçet. Medicentro Electrónica. 2017;22(1):84-7.
Greco A, De Virgilio A, Ralli M, Ciofalo A, Mancini P, Attanasio G, et? al. Behcet’s disease: New insights into pathophysiology, clinical features and treatment options. Autoimmun Rev. 2018;17(6):567-75.
Martínez Larrarte JP, Cepero Morales R, Sosa Almeida M, Molinero Rodríguez C, Lantigua Martell MA. Síndrome de Behcet: Presentación de un caso. Rev Cubana Med. 1998;7(4):249-52.
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