RECURRENT APHTHOUS STOMATITIS RELATED TO PSYCHOLOGICAL STRESS, FOOD ALLERGY AND GERD

Rina Kartika Sari*  -  , Indonesia
Diah Savitri Ernawati  -  Oral medicine Department, Faculty of Dental Medicine,Universitas Airlangga, Surabaya, Indonesia
Bagus Soebadi  -  Oral medicine Department, Faculty of Dental Medicine,Universitas Airlangga, Surabaya, Indonesia

(*) Corresponding Author

Background: Recurrent Aphthous Stomatitis (RAS) is inflammation in oral mucosa characterized by recurrent single or multiple ulcers that usually affected in non keratinized mucosa. Etiology RAS is unknown but psychological stress, allergy, and gastrointestinal disease can be predisposing factors Case Management: A 23rd years old complained recurrent oral ulcer with free ulcer period for 3-5 days. The patient had a history of food allergy, GERD and psychological stress. Intraoral examination showed recurrent multiple ulcers in variation site of the mouth. DASS 42 screening showed high stress and high anxiety. Skin Prick Test showed positive allergy to kapok, beef, chicken, cow milk, white egg, duck egg, shrimp, cob fish, milkfish, chocolate, and peanut. Ulcers treated with nonsteroid antiinflammation Aloe Vera gel and stress management by reading assignment method.
Discussion: Psychological stress altered the immune system so oral mucosa prone to inflammation, and make the history of GERD getting worse. Stress causes cortisol secretion that changes the imbalance of proinflammatory and antiinflammatory cytokines. Oral mucosa becomes more susceptible to hypersensitivity. In addition, stress decreased oral and esophageal mucosa resistance to GERD
Conclusion: RAS triggered by psychological stress, allergy, and GERD. Treatment of RAS is by elimination predisposing factors to prevent recurrence.

Keywords: Recurrent Aphthous Stomatitis; Psychological Stress; Food Allergy; GERD

  1. Kumar A M., Ananthakrishnan V, Goturu J. 2014. Etiology And Pathophysiology Of Recurrent Aphthous Stomatitis: A Review. Int J Cur Res Rev. 06 (10)
  2. Belenguer-Guallar I , Jiménez-Soriano Y, Claramunt-Lozano A. 2014. Treatment of recurrent aphthous stomatitis: A literature review. J Clin Exp Dent. 2014;6(2):e168-74
  3. Junhar GM, Suling PL, Supit ASR. 2015. Gambaran Stomatitis Aftosa Rekuren Dan Stres Pada Narapidana Di Lembaga Pemasyarakatan Kelas Ii B Bitung. Jurnal E-Gigi (Eg).3 (1)
  4. Hernawati, S. 2014. Mekanisme Seluler dan Molekuler Stres Terhadap Terjadinya Recurrent Apthous Stomatitis. Jurnal PDGI. (63):1
  5. Tarakji B, Gazal G, Al-Maweri SA, Azzeghaiby SN, Alaizari N. 2015. Guideline for the Diagnosis and Treatment of Recurrent Aphthous Stomatitis for Dental Practitioners. Journal of International Oral Health; 7(5):74-80
  6. Song, EM, Jung HK, Jung JM. 2013. The Association Between Reflux Esophagitis and Psychososial Stress. Dig Dis Sci. 58:471–477
  7. Slebioda Z, Zsponar E, Kowalska A. 2014. Etiopathogenesis of Recurrent Apthous Stomatitis and The Role of Immunologic Aspects : A Literature Review. Arch Immunol Ther Exp. 63:205-215
  8. Baskoro H.. 2015. Buku Ajar Ilmu Penyakit Dalam. Edisi 2. Surabaya:Airlangga University Press. Hal. 484-192
  9. Nusi S.. 2015. Buku Ajar Ilmu Penyakit Dalam. Edisi 2. Surabaya:Airlangga University Press. Hal. 484-192
  10. Furnawanthi, I., 2007, Khasiat dan Manfaat Lidah Buaya Si Tanaman Ajaib Ed.8, Jakarta Selatan: PT. AgroMedia Pustaka, Hal. 1-29.
  11. Susanto H. 2015. Xerostomia severity difference between elderly using alcohol and non alcohol-containing mouthwash. Dental Journal (Majalah Kedokteran Gigi). 48(3): 109–112

Lisensi Creative Commons
This work is licensed under a Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.
Contact us: Odonto Dental Journal: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang, Central Java, Indonesia, 50112. Email: odontodentaljournal@unissula.ac.id
apps
slot gacor slot