■多形性红斑是由各种因素引起的超敏反应,如病毒,化学品,和毒品。电子烟(电子烟)或vape是一种电池供电的尼古丁输送设备,可替代传统香烟。vaping的化学成分,包括丙二醇和尼古丁,会引起超敏反应。
■报告一例电子烟使用者口腔多形性红斑,治疗,并回顾有关这些设备对口腔健康影响的文献。
一名22岁的妇女因口腔炎引起疼痛而来到口腔科,吃,饮酒困难,开始是发烧和嘴唇上的丘疹状。她是一个活跃的vape用户一年。口外检查显示其他身体部位无病变。嘴唇上有浆血的结皮,阴唇连合上的侵蚀区域,倾向于流血。口腔内检查发现白色溃疡,边缘淡黄色和不规则,口腔粘膜的几个部位大小不同。抗HSV-1IgG实验室结果显示非反应性,导致口腔多形性红斑的诊断。使用0.9%NaCl压缩治疗口腔状况,地塞米松漱口水,和透明质酸,将2%咪康唑乳膏涂在阴唇连合上,将凡士林专辑乳膏涂在干燥的嘴唇上,停止蒸发。口腔疾病在一周的治疗中得到改善。
■限于口腔的多形性红斑很少见,特别是与电子烟有关。口腔溃疡性疾病的早期识别对于准确诊断和治疗至关重要。临床医生应考虑将口腔多形性红斑作为可能的诊断。
UNASSIGNED: Erythema multiforme is a hypersensitivity reaction caused by various factors, such as viruses, chemicals, and drugs. Electronic cigarettes (e-cigarettes) or vape is a battery-powered nicotine delivery device that substitutes for traditional cigarettes. The chemical components of vaping, including propylene glycol and nicotine, can cause hypersensitivity reactions.
UNASSIGNED: To report a case of oral erythema multiforme in an e-cigarettes user, treatment, and review the literature regarding the impact of these devices on oral health.
UNASSIGNED: A 22-year-old woman came to the Oral Medicine Department with complaints of stomatitis causing pain, eating, and drinking difficulty, which started with fever and pimple-like on the lips. She was an active vape user for one year. Extraoral examination revealed no lesions on other body parts. The serosanguinolent crusts on the lips, an erosive area on the labial commissures and tended to bleed. Intraoral examination revealed white ulcers with yellowish edges and irregular, varying sizes in several parts of the oral mucosa. The anti-HSV-1 IgG laboratory results showed non-reactive, leading to a diagnosis of oral erythema multiforme. Management of oral conditions using 0.9% NaCl compress, dexamethasone mouthwash, and hyaluronic acid, applying 2% miconazole cream on labial commissures and vaseline album cream on the dry lips, and stopping vaping. Oral condition improved in a week of therapy.
UNASSIGNED: Erythema multiforme restricted to the mouth is rare, especially associated with electronic cigarettes. Early identification of oral ulcerative disorders is crucial for accurate diagnosis and treatment, where clinicians should consider oral erythema multiforme as a possible diagnosis.