Glick Michael
Department of Diagnostic Science, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
Compend Contin Educ Dent. 2002 Jul;23(7 Suppl 2):4-8.
Recurrent oral ulcerations are the most common pathologic condition seen by general dentists. Because the etiology of oral ulcers is diverse, it is a continuous challenge for clinicians to reach a correct diagnosis. Recurrent herpes simplex virus (HSV)-associated ulcerations mainly affect the lip (herpes labialis). However, intraoral ulcerations may also be a sign of recurrent disease. For many patients, these sores are painful and unsightly. Up to 85% to 90% of adults show serologic evidence of exposure to HSV. HSV infections can cause high morbidity beyond oral and genital lesions. Furthermore, HSV poses an infectious risk to both patients and oral health care providers, so it is important that dental professionals are up-to-date on appropriate therapies and precautions. This article discusses recurrent oral HSV infection and nonoral manifestations of HSV infection.
复发性口腔溃疡是普通牙医最常遇到的病理状况。由于口腔溃疡的病因多种多样，临床医生要做出正确诊断始终是一项挑战。复发性单纯疱疹病毒（HSV）相关的溃疡主要影响唇部（唇疱疹）。然而，口腔内溃疡也可能是复发性疾病的一个迹象。对许多患者来说，这些溃疡既疼痛又有碍观瞻。高达85%至90%的成年人有接触HSV的血清学证据。HSV感染除了会导致口腔和生殖器病变外，还会引起高发病率。此外，HSV对患者和口腔医护人员都构成感染风险，因此牙科专业人员了解最新的适当治疗方法和预防措施非常重要。本文讨论复发性口腔HSV感染及HSV感染的非口腔表现。
