Laskowska Ewelina, Radwan-Oczko Małgorzata
Department of Oral Pathology, Medical University of Wrocław, Poland.
Pol Merkur Lekarski. 2021 Oct 22;49(293):374-378.
Multiple manifestations of SARS-CoV-2 infection have been described in the literature. Among them also oral lesions were present. These lesions seem to be very important because they are seen in various clinical presentation and should be taken into consideration in the COVID-19 diagnosis.A lot of changes and oral mucosal lesions have been described as oral manifestation of COVID-19. The most frequently observed were: aphte - like erosions, virus herpes - like erosions, oral ulcers, petechie, reddisch macule, erythema, depapilation of the tongue surface, oral hyperpigmentation, presence of opportunistic Candida infections. There is no clear evidence if oral lesions in the course of COVID-19 are related to oral mucosal damage or are due to opportunistic infections or intensive COVID-19 treatment. The next observation and study are needed to describe this relationship. However the knowledge about oral manifestation of SARS-CoV- 2 infection is important. Currently in the pandemic time even in the patients without infection confirmed by the PCR method but also in those only suspected of infection, every oral mucosa lesion might be regarded as related with COVID-19.
文献中已描述了新冠病毒感染的多种表现。其中也有口腔病变。这些病变似乎非常重要,因为它们出现在各种临床表现中,在新冠病毒疾病(COVID-19)诊断中应予以考虑。许多变化和口腔黏膜病变已被描述为COVID-19的口腔表现。最常观察到的有:口疮样糜烂、病毒疱疹样糜烂、口腔溃疡、瘀点、红色斑疹、红斑、舌面乳头萎缩、口腔色素沉着、机会性念珠菌感染。目前尚无明确证据表明COVID-19病程中的口腔病变是与口腔黏膜损伤有关,还是由于机会性感染或COVID-19的强化治疗所致。需要进一步观察和研究来描述这种关系。然而,关于新冠病毒感染口腔表现的知识很重要。在当前大流行时期,即使是未经聚合酶链反应(PCR)方法确诊感染的患者,以及那些仅疑似感染的患者,每一处口腔黏膜病变都可能被视为与COVID-19有关。
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