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Detection of Herpes Simplex Virus, Varicella Zoster Virus, Helicobacter Pylori and Candida in Saliva of Patients with Recurrent Aphthous Ulceration

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Abstract

Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾ç ȯÀÚÀÇ Å¸¾×¿¡¼­ ±¸°­³» ±Ë¾ç¼º º´¼Ò¸¦ À¯¹ßÇÒ ¼ö ÀÖ°í °¨¿°¼ºÀÌ ºñ±³Àû ³ôÀº ¹Ì»ý¹°·Î ¾Ë·ÁÁø Herpes Simplex virus, Varicella Zoster virus, Helicobacter pylori ±×¸®°í Candida°¡ ¹ßÇöµÇ´ÂÁö ¿©ºÎ¿Í º´¼ÒÀÇ ¹ß»ý°ú »ó°ü°ü°è°¡ ÀÖ´ÂÁö¸¦ ¾Ë¾Æº¸°íÀÚ Á¶¼±´ëÇб³ Ä¡°úº´¿ø ±¸°­³»°ú¿¡ ³»¿øÇÑ Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾çÀ» °¡Áø ȯÀÚ 29¸í°ú ´ëÁ¶±º 29¸íÀÇ Å¸¾×À» ÀÌ¿ëÇÏ¿© PCR°ú ¹è¾çÀ» ÅëÇØ ¹ßÇöÀ²À» ºñ±³Çѹ٠´ÙÀ½°ú °°Àº °á°ú¸¦ ¾ò¾ú´Ù.
1. HSV DNA´Â Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾ç ȯÀÚ±º¿¡¼­ 41.4%, ´ëÁ¶±º¿¡¼­ 55.2%°¡ ¹ßÇöµÇ¾úÀ¸³ª µÎ ±º°£¿¡ À¯ÀÇÇÑ Â÷ÀÌ´Â ¾ø¾ú°í(P£¾0.05), VZV DNA´Â µÎ ±º¿¡¼­ ¸ðµÎ ³ªÅ¸³ªÁö ¾Ê¾Ò´Ù.
2. H. pylori DNA´Â Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾ç ȯÀÚ±º¿¡¼­ 27.6%, ´ëÁ¶±º¿¡¼­ 48.3%°¡ ¹ßÇöµÇ¾úÀ¸³ª µÎ ±º°£¿¡ À¯ÀÇÇÑ Â÷ÀÌ´Â ¾ø¾ú´Ù(P£¾0.05).
3. Candida´Â Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾ç ȯÀÚ±º¿¡¼­ 13.8%, ´ëÁ¶±º¿¡¼­ 6.9%°¡ ¹è¾çµÇ¾úÀ¸³ª µÎ ±º°£¿¡ À¯ÀÇÇÑ Â÷ÀÌ´Â ¾ø¾ú´Ù(P£¾0.05).
ÀÌ»óÀÇ ¿¬±¸¸¦ Á¾ÇÕÇÏ¿© º¸¾ÒÀ» ¶§, HSV, VZV, H. pylori ±×¸®°í Candida´Â Àç¹ß¼º ¾ÆÇÁŸ¼º ±Ë¾çÀÇ ¹ß»ý¿¡ Á÷Á¢ÀûÀÎ ¿ªÇÒÀ» ÇÑ´Ù°í´Â º¼ ¼ö ¾øÀ¸¹Ç·Î ÇâÈÄ ´õ ¸¹Àº Ç¥º»À» ´ë»óÀ¸·Î ´Ù¸¥ ¹Ì»ý¹°ÀÌ º´¼Ò¹ß»ýÀÇ À¯¹ß¿äÀÎÀ¸·Î ÀÛ¿ëÇÏ´ÂÁö ¿¬±¸ÇÏ¿©¾ß ÇÒ °ÍÀ¸·Î »ç·áµÈ´Ù.

To examine whether HSV, VZV, H. pylori and Candida that are known to be microorganisms causing ulcerative disease in oral cavity and have the relatively high contigiousness are detected in saliva of patients with RAU and related to the development with RAU, PCR and culture were performed on the saliva of 29 patients with RAU and 29 control subjects who visited the Department of Oral Medicine, Dental Hospital, Chosun University.
The results were obtained as follows;
1. HSV DNA was detected in 41.4% patients with RAU, and 55.2% control subjects, however, a significant difference between the two groups was not detected, (P£¾0.05), and VZV DNA was not detected in both groups.
2. H. pylori DNA was detected in 27.6% patients with RAU, and 48.3% control subjects, however, a significant difference between the two groups was not detected (P£¾0.05).
3. Candida was cultured in 13.8% patients with RAU, and 6.9% control subjects, however, a significant difference between the two groups was not detected (P£¾0.05).
This results suggest that HSV, VZV, H. pylori and Candida can not be regarded to play a direct role in the development of RAU. Thus it is considered that in future, on a larger sample, also, it has to be examined whether other microorganisms acts as a trigger factor of the development of RAU.

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