Pediatric otolaryngology: principles and practiceNipple trauma in infants? Bednar aphthae☆,☆☆
Section snippets
Case report
In November 2010, a 2-month-old infant was admitted to the pediatric emergency department for frequent crying episodes, nursing difficulty, and irritability for the last month. He had no fever and was in general good conditions, and all vital signs were normal. At palate examination with tongue depressor, 2 big ulcers were observed. They were symmetrical, 2 × 1 cm in diameter, located between the hard and soft palate superiorly to the palatine tonsils. They presented with a hyperemic halo and
Discussion
Diagnosis was consistent with traumatic ulcer, better known as Bednar aphthae. Bednar, an Austrian pediatrician, described them in 1850 [1]. The mucosal lesion is usually symmetric, seldom unilateral, and located in the posterior hard palate where the soft palate begins, medial to the retromolar trigon. Most descriptions of these lesions were published in the 19th and the beginning of the 20th century [2], but clear pictures of Bednar ulcers are lacking in international literature. A clear
Conclusion
Bednar aphthae are seldom reported in international literature, although quite common in newborn. Bilateral palatine ulcers in infants should be well known by both pediatricians and otolaryngologists to avoid useless examinations and to suggest the simple but useful information for parents.
References (3)
- et al.
Oral palatine ulcers of a traumatic nature in infants: Bednar's aphthae
Int J Otorhinolaryngol
(1996)
Cited by (7)
Incidence and clinical risk factors of Bednar's aphthae in Japanese newborns
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2019, Clinical PediatricsBilateral palatine ulcers in a neonate: Bednar's aphthae
2018, Archives of Disease in ChildhoodBednar's aphthae in newborn
2017, Archivos Argentinos de PediatriaClinical features of bednar’s aphthae in infants
2016, Korean Journal of Pediatrics