Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate

Background. Neonatal oral aphthous ulceration of the palate also known as Bednar’s aphthae is not an uncommon presentation. They clinically present as spontaneously regressing, shallow, and symmetrical ulcers on the posterior palate of newborns from 2 days up to 6 weeks of age. Case Presentation. We...

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Main Authors: Sandara Wayangi Madurapperuma, Andra Hennadige Heshan Malinga Jayaweera, Ruwan Duminda Jayasinghe
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/6660302
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author Sandara Wayangi Madurapperuma
Andra Hennadige Heshan Malinga Jayaweera
Ruwan Duminda Jayasinghe
author_facet Sandara Wayangi Madurapperuma
Andra Hennadige Heshan Malinga Jayaweera
Ruwan Duminda Jayasinghe
author_sort Sandara Wayangi Madurapperuma
collection DOAJ
description Background. Neonatal oral aphthous ulceration of the palate also known as Bednar’s aphthae is not an uncommon presentation. They clinically present as spontaneously regressing, shallow, and symmetrical ulcers on the posterior palate of newborns from 2 days up to 6 weeks of age. Case Presentation. We, herein, report a case of a one-month-old baby girl who presented with an ulcer in the posterior palate and intermittent mild fever. The patient was admitted and monitored in the ward. Haematologic investigations disclosed features of ongoing infection. Nasogastric feeding was commenced to avoid any irritation of the ulcer, and glycerine was applied on the ulcer. Antibiotic therapy was continued because of the intermittent mild fever. The lesion healed spontaneously within one week, and fever subsided afterwards. Currently, the patient is faring healthily without any complications. Conclusion. Although Bednar’s aphthae is not a rare presentation, clinicians are often met with a diagnostic dilemma due to the alarming clinical presentation of this condition. Therefore, it leads to overinvestigation and overtreatment. With this case report, we would like to highlight the importance of being aware of this condition to provide the patients with the appropriate treatment.
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spelling doaj-art-16e2b583f389496b9d4f45badf3bb2852025-02-03T00:58:59ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/66603026660302Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the PalateSandara Wayangi Madurapperuma0Andra Hennadige Heshan Malinga Jayaweera1Ruwan Duminda Jayasinghe2Division of Oral Medicine, Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri LankaDepartment of Paediatrics, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Oral Medicine and Periodontology and Centre for Research in Oral Cancer, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri LankaBackground. Neonatal oral aphthous ulceration of the palate also known as Bednar’s aphthae is not an uncommon presentation. They clinically present as spontaneously regressing, shallow, and symmetrical ulcers on the posterior palate of newborns from 2 days up to 6 weeks of age. Case Presentation. We, herein, report a case of a one-month-old baby girl who presented with an ulcer in the posterior palate and intermittent mild fever. The patient was admitted and monitored in the ward. Haematologic investigations disclosed features of ongoing infection. Nasogastric feeding was commenced to avoid any irritation of the ulcer, and glycerine was applied on the ulcer. Antibiotic therapy was continued because of the intermittent mild fever. The lesion healed spontaneously within one week, and fever subsided afterwards. Currently, the patient is faring healthily without any complications. Conclusion. Although Bednar’s aphthae is not a rare presentation, clinicians are often met with a diagnostic dilemma due to the alarming clinical presentation of this condition. Therefore, it leads to overinvestigation and overtreatment. With this case report, we would like to highlight the importance of being aware of this condition to provide the patients with the appropriate treatment.http://dx.doi.org/10.1155/2021/6660302
spellingShingle Sandara Wayangi Madurapperuma
Andra Hennadige Heshan Malinga Jayaweera
Ruwan Duminda Jayasinghe
Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
Case Reports in Pediatrics
title Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
title_full Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
title_fullStr Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
title_full_unstemmed Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
title_short Spontaneously Regressing Neonatal Oral Aphthous Ulceration of the Palate
title_sort spontaneously regressing neonatal oral aphthous ulceration of the palate
url http://dx.doi.org/10.1155/2021/6660302
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AT ruwandumindajayasinghe spontaneouslyregressingneonataloralaphthousulcerationofthepalate