Zakiawati Dewi
Oral Medicine Residency Program, Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.
Department of Oral Medicine, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.
J Asthma Allergy. 2024 Sep 12;17:863-869. doi: 10.2147/JAA.S455749. eCollection 2024.
Allergic stomatitis is an oral inflammatory disorder characterized by a painful, burning sensation, or itchiness in the oral cavity which clinically appears as erythematous plaques, vesiculation, ulceration, and/or hyperkeratosis. The causative agents include drugs, dental materials, and food ingredients. Allergic stomatitis might develop after a person eats, touches, or inhales food allergen which then triggers the hypersensitivity reaction. The most common types of food hypersensitivity generally involve type 1 and type 4 reactions or a combination of both.
This case report aims to discuss a case of allergic stomatitis caused by one of the staple food ingredients in Indonesia: cassava.
A 26-year-old woman came with complaints of burning pain from multiple ulcers on her right inner cheek. The ulcers appeared shortly after the patient ate boiled cassava, extending to the soft palate and causing pain when swallowing food. The patient has a history of asthma.
The patient was referred for a total IgE examination with a result of 271.41 KIU/L (normal < 150 KIU/L). She was prescribed an antiseptic mouthwash and topical corticosteroids for palliative therapy. Additionally, multivitamins were also prescribed to speed up the healing process.
Allergic stomatitis can be caused by food ingredients, even those considered healthy or non-allergenic. A complete anamnesis, including the patient's food history, along with supporting examinations, must be carried out to confirm the diagnosis and select appropriate therapy.
过敏性口炎是一种口腔炎症性疾病，其特征为口腔内出现疼痛、烧灼感或瘙痒感，临床上表现为红斑、水疱、溃疡和/或角化过度。致病因素包括药物、牙科材料和食物成分。过敏性口炎可能在一个人食用、接触或吸入食物过敏原后发生，进而引发超敏反应。最常见的食物超敏反应类型通常涉及1型和4型反应或两者的组合。
本病例报告旨在讨论一例由印度尼西亚的一种主食成分木薯引起的过敏性口炎病例。
一名26岁女性前来就诊，主诉右内侧脸颊多处溃疡引起灼痛。这些溃疡在患者食用水煮木薯后不久出现，蔓延至软腭，吞咽食物时会引起疼痛。该患者有哮喘病史。
患者被转诊进行总IgE检查，结果为271.41 KIU/L（正常<150 KIU/L）。她被开了一种抗菌漱口水和局部用皮质类固醇进行姑息治疗。此外，还开了多种维生素以加速愈合过程。
过敏性口炎可能由食物成分引起，即使是那些被认为健康或无过敏原的成分。必须进行完整的问诊，包括患者的饮食史，并结合辅助检查，以确诊并选择合适的治疗方法。
