Ogawa H, Kazuyama Y, Hashiguchi K
E.N.T. Clinic, Kitasato Institute Hospital, Tokyo.
Nihon Jibiinkoka Gakkai Kaiho. 1990 Jun;93(6):920-4. doi: 10.3950/jibiinkoka.93.920.
Attempts were made to demonstrate herpes simplex virus (HSV) type 1 and type 2, varicella zoster virus (VZV) and cytomegalovirus (CMV) in specimens obtained from aphthous ulceration lesions by the immunofluorescent method using fluorescein-labeled monoclonal antibodies. HSV-1 and VZV were detected in 2 and 4 out of 30 patients, respectively. Although almost all viruses that can infect the oral cavity could occasionally cause stomatitis, neither HSV-2 nor CMV was not found in this study. VZV was detected in 1 out of 8 patients with recurrent aphthous ulceration. After treatment with acyclovir, the patient's symptoms has become less severe and recurrence rates of attacks reduced, however, the patient has not been totally free of the disease. There were no differences in clinical aspects of stomatitis between the patients with and without viral isolation. Further clinical investigation is encouraged to confirm the relationship between aphthous stomatitis and viral infection.
采用荧光素标记的单克隆抗体免疫荧光法,试图在复发性口腔溃疡病变标本中检测1型和2型单纯疱疹病毒(HSV)、水痘带状疱疹病毒(VZV)和巨细胞病毒(CMV)。30例患者中分别有2例和4例检测到HSV-1和VZV。虽然几乎所有可感染口腔的病毒偶尔都可引起口腔炎,但本研究未发现HSV-2和CMV。8例复发性口腔溃疡患者中有1例检测到VZV。用阿昔洛韦治疗后,患者症状减轻,发作复发率降低,但仍未完全治愈。病毒分离阳性和阴性的患者口腔炎临床症状无差异。鼓励进一步进行临床研究以证实复发性口腔溃疡与病毒感染之间的关系。