Stomatitis natural history, complications and prognosis
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The natural history and complications vary among different types of stomatitis. Meningoencephalitis, recurrent skin and mouth infections, dissemination of the infection, and teeth loss are a few known complications of stomatitis. The prognosis for most types of stomatitis is good.
If left untreated herpetic stomatitis resolves after the vesicles erupt and the ulcers heal. The HSV travels along the length of the nerves and moves to the ganglions where it stays in latent form. When the host becomes immunocompromised after taking medications or due to some other illness, the virus assesses the opportunity and through the same nerves becomes active once again manifesting symptoms such as oral vesicles. The viral shedding can continue for 2-12 days after the onset of primary infection.
Life threatening complications
Other Common Complications
- Teeth loss
- Pyostomatitis vegetans has no malignant potential and treatment of underlying IBD is very effective to eradicate the disease completely. The prognosis is good with treatment.
- Contact stomatitis is cured completely by avoiding allergens responsible for causing the stomatitis.
- Nicotinic stomatitis is cured completely by avoidance of smoking.
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