Clinical features of Bednar's aphthae in infants

Korean journal of pediatrics
Seung-Woo NamGoun Jeong

Abstract

Although Bednar'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 Bednar's aphthae. Sixteen neonates and infants were newly diagnosed with Bednar'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. Initial presentation included changes in feeding habits (n=10), longer feeding time, reduced intake, and increased irritability. In 6 patients, Bednar's aphthae were discovered incidentally, without prior symptoms. Feeding posture and method of feeding are important causes of Bednar'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 disappeare...Continue Reading

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Citations

Dec 10, 2017·Archives of Disease in Childhood·Martin TheilerPatrick M Meyer Sauteur
Jan 31, 2020·Pediatric Dermatology·Yashdeep Singh Pathania
Aug 2, 2020·Pediatrics in Review·Sandy S JohngEllen Laves
Feb 13, 2021·Postgraduate Medical Journal·Zihan WangZhensheng Cao
Feb 26, 2021·Case Reports in Pediatrics·Sandara Wayangi MadurapperumaRuwan Duminda Jayasinghe
Sep 25, 2021·Journal of Paediatrics and Child Health·Anna Cartwright, Daryl Efron
Oct 2, 2021·Journal of Paediatrics and Child Health

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Methods Mentioned

BETA
cesarean section

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