{"title":"阿普米司特治疗累及咽后壁的复发性口疮性难治性口腔炎1例。","authors":"Tinglan Yang, Jiankang Yang, Qing Liu, Zhenlai Zhu","doi":"10.1016/j.oooo.2025.08.003","DOIUrl":null,"url":null,"abstract":"<p><p>This case report describes a 37-year-old woman with refractory major recurrent aphthous stomatitis (RAS) who presented with a persistent 10-month posterior pharyngeal ulcer that was unresponsive to conventional treatments. Laboratory tests revealed elevated IL-6 and C-reactive protein. After excluding other related diseases, treatment with apremilast led to complete ulcer healing within 3 months, with normalization of IL-6 and no new ulcers during 8 months of follow-up. This case suggests the potential therapeutic benefits of apremilast in severe pharyngeal RAS refractory to conventional therapies.</p>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Apremilast for refractory major recurrent aphthous stomatitis involving the posterior pharyngeal wall: a case report.\",\"authors\":\"Tinglan Yang, Jiankang Yang, Qing Liu, Zhenlai Zhu\",\"doi\":\"10.1016/j.oooo.2025.08.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This case report describes a 37-year-old woman with refractory major recurrent aphthous stomatitis (RAS) who presented with a persistent 10-month posterior pharyngeal ulcer that was unresponsive to conventional treatments. Laboratory tests revealed elevated IL-6 and C-reactive protein. After excluding other related diseases, treatment with apremilast led to complete ulcer healing within 3 months, with normalization of IL-6 and no new ulcers during 8 months of follow-up. This case suggests the potential therapeutic benefits of apremilast in severe pharyngeal RAS refractory to conventional therapies.</p>\",\"PeriodicalId\":49010,\"journal\":{\"name\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral Surgery Oral Medicine Oral Pathology Oral Radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.oooo.2025.08.003\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.oooo.2025.08.003","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Apremilast for refractory major recurrent aphthous stomatitis involving the posterior pharyngeal wall: a case report.
This case report describes a 37-year-old woman with refractory major recurrent aphthous stomatitis (RAS) who presented with a persistent 10-month posterior pharyngeal ulcer that was unresponsive to conventional treatments. Laboratory tests revealed elevated IL-6 and C-reactive protein. After excluding other related diseases, treatment with apremilast led to complete ulcer healing within 3 months, with normalization of IL-6 and no new ulcers during 8 months of follow-up. This case suggests the potential therapeutic benefits of apremilast in severe pharyngeal RAS refractory to conventional therapies.
期刊介绍:
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.