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Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 46 / No. 1 / Published : 2013-03

Order : 7, and page :30 - 34

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Original Article :

Unidentified angular recurrent ulceration responsive to antiviral therapy

Author :

  1. Rahmi Amtha*1
  2. Siti Aliyah Pradono*2
  1. Department of Oral Medicine, Faculty of Dentistry Universitas Trisakti, Jakarta - Indonesia
  2. Department of Oral Medicine, Faculty of Dentistry, Universitas Indonesia, Jakarta - Indonesia

Abstract :

Background: Recurrent ulcer on angular area is usually called stomatitis angularis. It is caused by many factors such as vertical dimension reduce, vitamin B12, and immune system deficiency, C. albicans and staphylococcus involvement. Clinically is characterized by painful fissure with erythematous base without fever. Purpose: to describe an unidentified angular ulcer proceeded by recurrent ulcers with no response of topical therapy. Case: An 18-years old male came to Oral Medicine clinic in RSCM who complained of angular recurrent ulcers since 3 years ago which developed on skin and bleed easily on mouth opening. Patient had fever before the onset of ulcers. Large, painful, irregular ulcers covered by red crustae on angular area bilaterally. Patient has been treated with various drugs without improvement and lead to mouth opening limitation. Intra oral shows herpetiformtype of ulcer and swollen of gingival. Case management: Provisional diagnosis was established as viral infection thus acyclovir 200 mg five times daily for two weeks and topical anti inflammation gel were administered. Blood test for IgG/IgM of HSV1 and HSV2 were non reactive, however ulceration showed a remarkable improvement. The ulcers healed completely after next 2 weeks with acyclovir. Conclusion: The angular ulceration on above patient failed to fulfill the criteria of stomatitis angularis or herpes labialis lesion. However it showed a good response to antiviral. Therefore, unidentified angular ulceration was appointed, as the lesion might be triggered by other type of human herpes virus or types of virus that response to acyclovir.

Keyword :

Unidentified angular ulceration, responsive, antiviral,


References :

Skinner N ,(2005) What is angular cheilitis - : J Of Fam Pract





Archive Article

Cover Media Content

Volume : 46 / No. : 1 / Pub. : 2013-03
  1. Patient’s Expectation On Communication Performances Community Of Dental Health Services Providers Located In Urban And Rural Area
  2. Changes In Setting Time Of Alginate Impression Material With Different Water Temperature
  3. Bactericidal And Cytotoxic Effects Of Erythrina Fusca Leaves Aquadest Extract
  4. The Role Of Inducible Nitric Oxide Synthase In Teeth Periapical Lesions Immunopathogenesis Caused By Enterococcus Faecalis
  5. Antitumor Activity Of Antisense Oligonucleotide P45skp2 In Soft Palate Carcinoma Cell Squamous In Vitro
  6. Evaluation Of Local Muscle Soreness Treatment With Anterior Bite Splint Made Of Soft Putty Impression Material
  7. Unidentified Angular Recurrent Ulceration Responsive To Antiviral Therapy
  8. The Inhibition Of Malignant Epithelial Cells In Mucosal Injury In The Oral Cavity Of Strains By Pomegranate Fruit Extract (punica Granatum Linn) Through Bcl-2 Expression
  9. Shear Strength Of Orthodontic Bracket Bonding With Gic Bonding Agent After The Application Of Cpp-acpf Paste
  10. Hemolysin Activities As Virulence Factor Of Enterococcus Faecalis Isolated From Saliva And Periapical Abscess (gene Detection By Pcr)
  11. Effect Of Citrus Aurantifolia Swingle Essential Oils On Methyl Mercaptan Production Of Porphyromonas Gingivalis Triggering Halitosis

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