Muñoz-Corcuera M, Esparza-Gómez G, González-Moles M A, Bascones-Martínez A
Stomatology Department, Dental School, Complutense University of Madrid, Madrid, Spain.
Clin Exp Dermatol. 2009 Jun;34(4):456-61. doi: 10.1111/j.1365-2230.2009.03219.x. Epub 2009 Apr 14.
Oral ulcers are generally painful lesions that are related to various conditions developing within the oral cavity. They can be classified as acute or chronic according to their presentation and progression. Acute oral ulcers are be associated with conditions such as trauma, recurrent aphthous stomatitis, Behçet's disease, bacterial and viral infections, allergic reactions or adverse drug reactions. Chronic oral ulcers are associated with conditions such as oral lichen planus, pemphigus vulgaris, mucosal pemphigoid, lupus erythematosus, mycosis and some bacterial and parasitic diseases. The correct differential diagnosis is necessary to establish the appropriate treatment, taking into account all the possible causes of ulcers in the oral cavity. In this second part of this two-part review, chronic oral ulcers are reviewed.
口腔溃疡通常是与口腔内发生的各种病症相关的疼痛性病变。根据其表现和进展情况，可分为急性或慢性。急性口腔溃疡与创伤、复发性阿弗他口炎、白塞病、细菌和病毒感染、过敏反应或药物不良反应等病症有关。慢性口腔溃疡与口腔扁平苔藓、寻常型天疱疮、黏膜类天疱疮、红斑狼疮、真菌病以及一些细菌和寄生虫疾病等病症有关。考虑到口腔溃疡的所有可能病因，进行正确的鉴别诊断对于确定适当的治疗方法是必要的。在这篇分两部分的综述的第二部分中，将对慢性口腔溃疡进行综述。
