Ohman S C, Jontell M, Dahlen G
Department of Oral Diagnosis, Faculty of Odontology, University of Gothenburg, Sweden.
Scand J Dent Res. 1988 Aug;96(4):360-5. doi: 10.1111/j.1600-0722.1988.tb01568.x.
The incidence of recurrence of angular cheilitis following a successful antimicrobial treatment was studied in 48 patients. Clinical assessments including a microbial examination were carried out 8 months and 5 yr after termination of treatment. Eighty percent of the patients reported recurrence of their angular cheilitis on one or more occasions during the observation period. Patients with cutaneous disorders associated with dry skin or intraoral leukoplakia had an increased incidence of recrudescence. Neither the presence of denture stomatitis nor the type of microorganisms isolated from the original lesions of angular cheilitis, i.e. Candida albicans and/or Staphylococcus aureus, were associated with the number of recurrences. The present observations indicate that treatment of the majority of patients with angular cheilitis should be considered in a longer perspective than previously supposed, due to the short lasting therapeutic effects of the antimicrobial therapy.
对48例口角炎患者在成功进行抗菌治疗后复发的发生率进行了研究。在治疗结束后的8个月和5年进行了包括微生物检查在内的临床评估。80%的患者在观察期内报告口角炎复发一次或多次。伴有皮肤干燥相关皮肤病或口腔白斑的患者复发率增加。无论是义齿性口炎的存在,还是从口角炎原发病变中分离出的微生物类型,即白色念珠菌和/或金黄色葡萄球菌,均与复发次数无关。目前的观察结果表明,由于抗菌治疗的疗效持续时间较短,对于大多数口角炎患者的治疗应从比以往认为的更长的角度来考虑。