Fanta D, Kokoschka E M
Hautarzt. 1977 Feb;28(2):67-73.
Various classifications of recurrent aphthous ulcers, their differential diagnosis, especially the herpetic ulcers of the oral mucous membranes, are discussed. The clinical and histological pictures show three variants, the minor form, the major form or periadenitis mucosa necrotica recurrens (Sutton), and the herpetiforme aphthous ulcers. Recent investigations discussing the etiology of these ulcers assume that an auto-antigen might be responsible for the immuno-pathological mechanism. This auto-antigen is supposed to be formed by the contamination of the oral mucosa with microorganisms, particularly streptococci.
本文讨论了复发性阿弗他溃疡的各种分类、鉴别诊断,尤其是口腔黏膜疱疹性溃疡。临床和组织学表现显示出三种类型,即轻型、重型或复发性坏死性黏膜腺周围炎(萨顿病)以及疱疹样阿弗他溃疡。近期有关这些溃疡病因的研究认为,自身抗原可能是免疫病理机制的原因。这种自身抗原被认为是由口腔黏膜被微生物,尤其是链球菌污染而形成的。