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摘要


隨著回歸自然的趨勢,蜂膠越來越受歡迎。人們利用它的抗菌、抗黴菌、抗發炎、收斂傷口及麻醉等藥理活性來治療各種疾病及美容保養。蜂膠過敏在口腔表現上有:糜爛性口腔黏膜脫屑潰瘍、牙周組織紅腫糜爛、口腔炎、皮膚出現類似接觸性皮膚炎的紅斑與脫屑現象等等。臨床上需與多形性紅斑症及急性壞疽性齦炎作鑑別診斷。診斷上以詳細病史查詢分析及作皮膚過敏測試為輔,治療上以減敏治療、症狀治療、及預防感染為輔。本文描述一名病患因蜂膠過敏造成牙周組織不適及急性口腔黏膜炎與潰瘍之病例,並提出診斷及治療方法以供參考。

並列摘要


Propolis is more and more popular with the trend of ”come back to nature”. It is used in bio-cosmetics and self treatment of various diseases by it's pharmacological properties of antiseptic, antimycotic, anti-inflammatory, astringent and anesthetic activities. The expression of propolis allergy in oral cavity includes: erosive ulceration and desquamation of oral mucosa, eczematous lesions of periodontal tissue, stomatitis and contact dermatitis-like lesions in skin .The differential diagnosis should include erythema multiforme and acute necrotizing ulcerative gingivitis, Detailed history taking and analysis combined with patch skin test is important foroia1nolis. The treatment of propolis allergy includes: desensitized treatment, symptomatic treatment and anti-inflammatory treatment. This article describes a patient who had acute oral mucositis with ulceration and discomfort in periodontal tissues as a result of propolis allergy.

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