新冠肺炎的口腔表现综述

Q3 Biochemistry, Genetics and Molecular Biology Journal of Cellular Biotechnology Pub Date : 2023-02-21 DOI:10.3233/jcb-220085
Raju Anarthe, Amit Mani, Sejal Saklecha
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引用次数: 0

摘要

口腔健康是衡量总体健康、幸福感和生活质量的一个重要指标。严重急性呼吸系统综合征冠状病毒2型病毒已被发现有许多不良影响。口腔是最早被病毒感染并发生改变的组织区域之一。口腔表现包括溃疡、糜烂、大疱、小泡、脓疱、舌头裂开或脱落、黄斑、丘疹、斑块、色素沉着、口臭、白色斑块、出血皮、坏死、瘀点、肿胀、红斑和自发性出血。舌头(38%)、唇粘膜(26%)和腭(22%)是三个最典型的受累部位。建议诊断为口疮、疱疹样病变、念珠菌感染、血管炎、粘膜炎、药疹、坏死性牙周病、大疱性心绞痛、唇角炎、非典型甜味综合征和Melkerson-Rosenthal综合征。在68%的病例中,口腔病变是有症状的。口腔病变在两性中几乎相同(49%为女性,51%为男性)。年龄较大且患有更严重的新冠肺炎疾病的患者口腔病变更广泛、更严重。新冠肺炎患者口腔病变发展的最重要危险因素包括口腔卫生不良、机会性感染、压力、免疫抑制、血管炎和过度炎症反应。识别新冠肺炎患者粘膜的任何变化并进行果断治疗以预防并发症至关重要。患者还应在整个病程中保持足够的口腔卫生,以防止机会性微生物的定植,并预防口腔和系统并发症。
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Oral manifestations of COVID-19: A review
An important indicator of general health, well-being, and quality of life is oral health. The SARS-CoV-2 virus, which has been discovered to have a number of adverse effects. One of the earliest tissue areas to become infected by the virus and undergo alterations is the oral cavity. Oral manifestations included ulcer, erosion, bulla, vesicle, pustule, fissured or depapillated tongue, macule, papule, plaque, pigmentation, halitosis, white patches, haemorrhagic crust, necrosis, petechiae, swelling, erythema, and spontaneous bleeding. The tongue (38%), labial mucosa (26%), and palate (22%) were the three most typical sites of involvement. Aphthous stomatitis, herpetiform lesions, candidiasis, vasculitis, mucositis, drug eruption, necrotizing periodontal disease, angina bullosa-like, angular cheilitis, atypical sweet syndrome, and Melkerson-Rosenthal syndrome were suggested diagnoses for the lesions. In 68% of instances, oral lesions were symptomatic. There were almost equally as many oral lesions in both sexes (49% female and 51% male). More extensive and severe oral lesions were present in patients who were older and who had COVID-19 diseases that were more severe. The most significant risk factors for the development of oral lesions in COVID-19 patients include poor oral hygiene, opportunistic infections, stress, immunosuppression, vasculitis, and hyper-inflammatory response. It is crucial to identify any changes in the mucosa in COVID-19 patients and administer assertive treatment to prevent complications. Patients should also try to maintain adequate oral hygiene throughout the course of the illness to prevent the colonisation of opportunistic microorganisms and to prevent complications both orally and systemically.
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来源期刊
Journal of Cellular Biotechnology
Journal of Cellular Biotechnology Biochemistry, Genetics and Molecular Biology-Biotechnology
CiteScore
0.70
自引率
0.00%
发文量
13
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