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ORIGINAL ARTICLE
Korean J Pediatr 2016 January;59(1) :30-34.
Published online 2016 January 15.       
Clinical features of Bednarí»s aphthae in infants
Seung-Woo Nam1, Seol Hee Ahn1, Son-Moon Shin1,2, Goun Jeong1,2
1Department of Pediatrics, Cheil General Hospital & Womení»s Healthcare Center, Seoul, Korea
1,2Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea
Corresponding Author: Goun Jeong ,Tel: +82-2-2000-7274, Fax: +82-2-2000-7614, Email: medigone@naver.com
Copyright © 2016 by The Korean Pediatric Society
ABSTRACT
Purpose: Although Bednarí»s aphthae are common and regress spontaneously, these lesions may lead to feeding intolerance and are often misdiagnosed, rendering examinations useless. This study sheds new light on the clinical features of Bednarí»s aphthae.
Methods: Sixteen neonates and infants were newly diagnosed with Bednarí»s aphthae via routine health check-ups in an outpatient clinic. Medical records were retrospectively reviewed, and the following parameters were analyzed; sex, gestational age, birth weight, mode of delivery, and perinatal problems. A physical examination was carried out during the next outpatient visit to examine the healing process and check for the existence of scars or complications.
Results: Initial presentation included changes in feeding habits (n=10), longer feeding time, reduced intake, and increased irritability. In 6 patients, Bednarí»s aphthae were discovered incidentally, without prior symptoms. Feeding posture and method of feeding are important causes of Bednarí»s aphthae. Eleven patients were fed in a horizontal position, whereas 5 patients were fed in a semiseated position. Fifteen patients were bottle-fed, whereas 1 patient was exclusively breastfed. After correcting the feeding position, the ulcerative lesions disappeared within 1 month of diagnosis. During the follow-up period, lesions did not recur in any of the patients.
Conclusion: This study suggests that Bednarí»s aphthae are caused by mechanical pressure. A diagnosis of Bednarí»s aphthae should be considered when lesions are found on the palate of infants and when symptoms seem to be feeding related. Proper education of parents can both treat Bednarí»s aphthae and easily prevent its recurrence.
Keywords: Mouth mucosa | Aphthous stomatitis | Newborn | Infant
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