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急性疱疹性口炎:临床特征、诊断及治疗策略。

ACUTE HERPETIC STOMATITIS: CLINICAL MANIFESTATIONS, DIAGNOSTICS AND TREATMENT STRATEGIES.

机构信息

I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY, TERNOPIL, UKRAINE.

BUCOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE.

出版信息

Wiad Lek. 2022;75(1 pt 2):318-323.

Abstract

OBJECTIVE

The aim: To evaluate the recent scientific articles concerning peculiarities of this oral pathology. The goal is to carry out a literature review by evaluating all signs and clinical symptoms related to this disease, so as to provide the clinician with a useful tool for an early diagnosis and treatment of the disease.

PATIENTS AND METHODS

Materials and methods: The collection of relevant data were done using the scientific databases Pubmed, Google Scholar. A manual search on Dentistry and Pharmacological sources was also conducted for relevant studies published. The selected key words: ("Herpes virus" OR "HSV") AND ("oral" OR "oral lesions") were used for collecting the data.

CONCLUSION

Conclusions: The article presents clinical peculiarities of herpetic stomatitis depending on disease severity and course. Primary herpetic stomatitis appears as spherical clustered vesicles on the gingival and adjacent mucosa. Soon after eruption of elements of lesion they rupture forming painful halo like aphtae / ulcers. Typical symptoms are: pain from ruptured vesicles, lymphadenitis, fever etc. Early diagnosis of disease is important and treatment with antiviral medicaments can modify the course of the disease by reducing symptoms and potentially reducing recurrences. Management of acute herpetic stomatitis include antiviral medicaments intake, maintenance of fluids and electrolytes level in a body. The treatment principles based on etiotropic, pathogenetic and symptomatic therapy are considered in manuscript.

摘要

目的

评估与这种口腔病理学相关的特点的近期科学文献。目的是通过评估与这种疾病相关的所有体征和临床症状,进行文献综述,以便为临床医生提供一种用于疾病早期诊断和治疗的有用工具。

患者和方法

材料和方法:使用 Pubmed、Google Scholar 等科学数据库收集相关数据。还对 Dentistry 和 Pharmacological 来源进行了手动搜索,以查找已发表的相关研究。选择的关键词:(“疱疹病毒”或“HSV”)和(“口腔”或“口腔病变”)用于收集数据。

结论

本文介绍了根据疾病严重程度和病程的不同,疱疹性口炎的临床特点。原发性疱疹性口炎表现为牙龈和相邻黏膜上呈球形簇状水疱。病变元素爆发后不久,它们破裂形成疼痛的类口疮/溃疡状环。典型症状是:水疱破裂引起的疼痛、淋巴结炎、发热等。早期诊断疾病很重要,使用抗病毒药物治疗可以通过减轻症状和潜在地减少复发来改变疾病进程。急性疱疹性口炎的管理包括抗病毒药物的摄入、维持身体的液体和电解质水平。本文考虑了基于病因、发病机制和对症治疗的治疗原则。

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