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- $Unique_ID{BRK04245}
- $Pretitle{}
- $Title{Sutton's Disease II}
- $Subject{Sutton's Disease II von Mikulicz's Aphthae Periadenitis Mucosa
- Necrotica Recurrent Scarring Aphthae Major Aphthous Ulcer Major Ulcerative
- Stomatitis Major Canker Sore Recurrent Aphthous Ulcer Von Zahorsky's Disease
- Recurrent Aphthous Stomatitis }
- $Volume{}
- $Log{}
-
- Copyright (C) 1986 National Organization for Rare Disorders, Inc.
-
- 203:
- Sutton's Disease II
-
- ** IMPORTANT **
- It is possible the main title of the article (Sutton's Disease II) is not
- the name you expected. Please check the SYNONYMS listing to find the
- alternate names and disorder subdivisions covered by this article.
-
- Synonyms
-
- von Mikulicz's Aphthae
- Periadenitis Mucosa Necrotica
- Recurrent Scarring Aphthae
- Major Aphthous Ulcer
- Major Ulcerative Stomatitis Major Canker Sore
- Recurrent Aphthous Ulcer
- Von Zahorsky's Disease
- Recurrent Aphthous Stomatitis
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your personal physician and/or the agencies listed in the "Resources"
- section of this report.
-
-
- Sutton's Disease II, also known as Recurrent Aphthous Stomatitis, is
- characterized by recurrent and painful attacks of major canker sores in the
- mouth (aphthous stomatitis). This disorder of unknown cause affects both
- males and females.
-
- Symptoms
-
- The major ulcers in the mouth of Sutton's Disease II vary in size from 7 to
- 15 mm. Up to 15 ulcers may be present at once in affected individuals. The
- ulcers begin as a shallow oval erosion or kind of ulceration filled with a
- slightly yellowish opaque material. This material is composed of coagulated
- tissue fluids, oral bacteria and white blood cells. The ulcers leave
- scarring when they heal.
-
- Causes
-
- The precise cause of Sutton's Disease II is unknown, but several factors
- point toward a localized immune reaction. Deficiencies of iron, vitamin B12,
- and folic acid increase susceptibility to the disease. Stress is usually the
- predominant factor which triggers the attacks.
-
- Affected Population
-
- Sutton's Disease II affects males and females equally before puberty; after
- puberty, females are affected in greater numbers than males. The disease
- occurs most frequently in undernourished children and weakened adults.
-
- Related Disorders
-
- Pemphigus is the name of a distinctive group of skin disorders characterized
- by successive crops of bullae (blisters). (For more information on
- Pemphigus, choose "Pemphigus" as your search term in the Rare Disease
- Database. Herpetic ulcers of the mouth, caused by a herpes virus, occur
- mainly on the immovable mucosa (hard palate and attached gums), while the
- aphthae of Sutton's Disease II rarely appear in those locations.
-
- Therapies: Standard
-
- Treatment of Sutton's Disease II involves application of a topical anesthetic
- such as 2% lidocaine viscous or as an oral rinse providing short-time relief
- and facilitating eating. A dental protective paste such as OrabaseR prevents
- teeth, dental appliances and oral fluids from irritating the ulcers.
- Application of triamcinolone acetonide in emollient dental paste (a soothing
- agent) reduces discomfort and promotes healing. Tetracycline oral suspension
- may be used to treat multiple lesions. If started early after onset of the
- disease, symptomatic relief may occur during the first day of treatment and
- new lesions may be aborted. Treatment must be repeated for each new attack.
-
- Occasionally, this therapy may result in oral candidiasis which is an
- infection caused by a fungus of the genus Candida.
-
- Therapies: Investigational
-
- This disease entry is based upon medical information available through May
- 1990. Since NORD's resources are limited, it is not possible to keep every
- entry in the Rare Disease Database completely current and accurate. Please
- check with the agencies listed in the Resources section for the most current
- information about this disorder.
-
- Resources
-
- For more information on Sutton's Disease II, please contact:
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- NIH/National Institute of Dental Research
- 9000 Rockville Pike
- Bethesda, MD 20892
- (301) 496-4261
-
- References
-
- THE MERCK MANUAL, 15th ed., Robert Berkow, M.D., ed in chief, published by
- Merck, Sharp & Dohme Research Labs, Rahway, NJ, 1987. Pp. 2325.
-
- THE CECIL TEXTBOOK OF MEDICINE, 18th Ed.: James B. Wyngaarden and Lloyd
- H. Smith, Jr., Eds; W.B. Saunders Co., 1988. Pp. 675-676, 1664, 2347.
-
-