Strategi Penatalaksanaan Stomatitis Aftosa Rekuren pada Anemia Defisiensi Besi (Laporan Kasus)

Ahmad Ronal, Siti Aliyah
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Abstract

Recurrent aphthous stomatitis (RAS) is a type of lesion of the oral mucous consisting of sudden acute, painful, being recurrent, non-infectious, non- vesicular, and immunologically mediated. Chronic iron deficiency will result in iron deficiency anemia which is one of RAS predisposing factors. To ilustrate the complexity of RAS in iron deficiency anemia following the treatment strategies. Case Report: Outpatient woman, thirty years old, not married yet; came with painful aphthous on her tongue causing stiff tongue sensation and difficult to speak. She has frequent aphthous since last two months. Case Management: Diagnosis of RAS was derived from history and clinical presentation whereas iron deficiency anemia condition was derived from hematology examination. Patient has been instructed to increase iron source diet and limit tea consumption. Chlorhexidine gluconate and bee propolis were used as RAS medication. Ferro gluconate, ferrazone, and ascorbic acid were delivered as iron deficiency therapy. RAS treatment in iron deficiency anemia has to be considered both of RAS and iron deficiency condition related to their correlation.
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“铁缺血性贫血亚非托皮炎再生战略”(病例报告)
复发性口疮性口炎(RAS)是一种突发、急性、疼痛性、复发性、非传染性、非水疱性、免疫介导的口腔粘膜病变。慢性缺铁会导致缺铁性贫血,缺铁性贫血是RAS的易感因素之一。为了说明RAS在缺铁性贫血治疗策略后的复杂性。病例报告:门诊女性,30岁,未婚;她的舌头上有疼痛的口疮,导致舌头僵硬,说话困难。这两个月来她口疮频频发作。病例管理:RAS的诊断来自病史和临床表现,而缺铁性贫血的诊断来自血液学检查。患者已被指示增加铁源饮食和限制茶的摄入量。用葡萄糖酸氯己定和蜂胶作为RAS药物。葡萄糖酸铁、铁硝子和抗坏血酸作为缺铁治疗。RAS治疗缺铁性贫血必须同时考虑RAS与缺铁状况的相关性。
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