Department of Pediatrics, University of Modena and Reggio Emilia, Italy.
Am J Otolaryngol. 2012 Nov-Dec;33(6):756-7. doi: 10.1016/j.amjoto.2012.06.009. Epub 2012 Aug 9.
Bednar aphthae are infected wounds caused by trauma, localized to the hard palate in infants. They do not require specific treatment because they regress spontaneously in a few days. They often remain undiagnosed; other times, because of the pain they caused, they may worsen the nursing.
We describe the clinical case of a healthy infant of 2 months, fed with formula, who has 2 aphthous lesions in the oral cavity associated with irritability and inconsolable crying during feeding. We excluded the influence of infectious factors or underlying diseases. The hypothesis of a traumatic factor was supported by the anatomical features of aphthae and then confirmed by the gradual resolution of lesions after some advices on breastfeeding.
Our intent is to provide a photographic record of Bednar aphthae, which are quite common but often misdiagnosed also because of lacking of photographic material. Improved knowledge of this condition helps physicians in the differential diagnosis of a traumatic condition that is not as unusual as it seems in newborns.
Bednar 口疮是由创伤引起的感染性伤口，局限于婴儿的硬腭。它们不需要特殊治疗，因为它们会在几天内自然消退。它们常常未被诊断出来；其他时候，由于它们引起的疼痛，可能会使护理恶化。
我们描述了一个 2 个月大的健康婴儿的临床病例，他用配方奶喂养，口腔中有 2 个口疮性病变，伴有烦躁不安和喂养时哭闹不止。我们排除了感染因素或潜在疾病的影响。口疮的解剖特征支持创伤因素的假设，然后通过母乳喂养后的一些建议后病变逐渐消退得到证实。
我们的目的是提供 Bednar 口疮的照片记录，这种口疮很常见，但由于缺乏照片资料，常常被误诊。对这种情况的认识的提高有助于医生对创伤性疾病进行鉴别诊断，这种疾病在新生儿中并不像看起来那么罕见。
