Wednesday, March 12, 2008

Allergic stomatitis

Overview allergic stomatitis is Allergies body through contact, oral or injection through various means such as contact allergenic produced by the oral mucosal allergic inflammation. Mainly by the type 1 (rapid onset) and type IV (DTH) induced allergic. Clinical manifestations (1) drug allergy stomatitis (Drug stomatitis) : type I allergy is, it is probably mixed. More sensitized by the sulfa drug category, antipyretic analgesics (acids, amino than Lin), antibiotics, Barbiturates caused. After the medication in patients with a certain incubation period, the incubation period may be longer or shorter, within 24 h of the disease, the incidence even for a few minutes. Lesions of the main erythema, edema and size, ranging from blisters, blisters rupture or erosion, ulcer-consciously pain. Some patients with lesions in the mouth alone, and some patients with genital appearance of erythema, erosion and surface blisters, eye combined with uveitis. A small skin erythema, papules and vesicles, will be re-occurrence exfoliative dermatitis or epidermal necrolysis. Another drug allergy manifested as fixed eruption after each incidence over the same location, Inertia in the skin and mucous junction as mouth and limbs week, showed edema erythema, the central Bullous play, the more with pigmentation. Locally hot. Itching. (2) contact stomatitis : mainly collagen type hypersensitivity caused by common allergens with methyl methacrylate, self-curing acrylic, amalgam, lipsticks, etc. Paopaotang. In contact with allergens or even half a day over 24 h and then contact allergens can react, contact mucosal site redness, edema, on the red blisters occur, erosion or ulcer, consciously burning. Clinical use of amalgam for filling can be seen after the last contact with the mucous membrane similar Lichen Planus. Removal of amalgam fillings to switch to resin filling, the lesion can be dissipated. Allergic stomatitis under medication, and seizure history and clinical diagnosis, It can still be suspicious allergens fixed flexion in patients with lateral forearm skin patch for the test, at 48 or 72 h observation reaction to the diagnosis. Treatment (1) suspended sensitizing drugs (2) a systemic treatment. Oral antihistamine drugs such as flutter and the sensitive, stupid Diphenhydramine hydrochloride, thiadiazole - acridine, Astemizole and other large vitamin C and vitamin B complex. 105 or calcium gluconate with anti-acid Central slow intravenous blood. 2. Serious illness can corticosteroids, such as hydrocortisone or intravenous dexamethasone. wait for his condition improved use of prednisone or dexamethasone oral; Infusion can be sensitized to promote excretion of drugs, rehabilitation benefit patients. 3. Concurrent infection with antibiotics needed to. (3) Local Treatment : The main application of anti-inflammatory agents, such as 1% procaine liquid meals Gargle, local affixed to the various anti-inflammatory film, deposited ulcer medicine and other casual.

No comments: