Association of oral manifestations with severity of the disease in ulcerative colitis patients

Abstract Objective Inflammatory bowel diseases (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC), are chronic conditions primarily affecting the intestines. This study aims to identify the nature and frequency of oral symptoms and signs in patients with ulcerative colitis and to explor...

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Main Authors: Nikta Taghizadeh Tabarsi, Nazanin Mortazavi, Alireza Norouzi, Sima Besharat, Nasser Behnampour, Negar Asgari
Format: Article
Language:English
Published: BMC 2024-10-01
Series:BMC Gastroenterology
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Online Access:https://doi.org/10.1186/s12876-024-03472-9
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author Nikta Taghizadeh Tabarsi
Nazanin Mortazavi
Alireza Norouzi
Sima Besharat
Nasser Behnampour
Negar Asgari
author_facet Nikta Taghizadeh Tabarsi
Nazanin Mortazavi
Alireza Norouzi
Sima Besharat
Nasser Behnampour
Negar Asgari
author_sort Nikta Taghizadeh Tabarsi
collection DOAJ
description Abstract Objective Inflammatory bowel diseases (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC), are chronic conditions primarily affecting the intestines. This study aims to identify the nature and frequency of oral symptoms and signs in patients with ulcerative colitis and to explore the connection between these complications and the activity of the disease. Methods This descriptive-analytical study involved ulcerative colitis patients who visited the gastroenterology clinic at Shahid Sayad Shirazi Hospital in Gorgan, along with an equal number of healthy companions as a control group in 2019. A gastroenterology internist assessed the disease severity through clinical examination and a simple clinical disease activity index for colitis patients. The collected data were then analyzed statistically using SPSS version 19. Results The average age of patients in the case group was 41.84 ± 11.66 years, while in the control group it was 40.43 ± 12.67 years. There was a significant correlation between difficulty swallowing, burning sensation in the mouth, vomiting, acidic taste, the presence of oral ulcers, and a coated tongue with the severity of disease activity (p < 0.05). However, no significant relationship was found between other variables and the severity of disease activity (p > 0.05). Conclusion The results of this study confirm that as the severity of ulcerative colitis increases, the occurrence of oral lesions also rises, particularly during severe disease activity. Among oral symptoms, dry mouth had the highest incidence, followed by bad breath and changes in taste. The most common oral lesions observed were a coated tongue, grooved tongue, and oral ulcers, respectively.
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spelling doaj-art-9ff61e261f2c493fab3e027339a68a902025-08-20T02:11:22ZengBMCBMC Gastroenterology1471-230X2024-10-012411710.1186/s12876-024-03472-9Association of oral manifestations with severity of the disease in ulcerative colitis patientsNikta Taghizadeh Tabarsi0Nazanin Mortazavi1Alireza Norouzi2Sima Besharat3Nasser Behnampour4Negar Asgari5Dental Research Center, Golestan University of Medical SciencesDental Research Center, Golestan University of Medical SciencesGolestan Research Center of Gastroentrology and Hepatology, Golestan University of Medical SciencesGolestan Research Center of Gastroentrology and Hepatology, Golestan University of Medical SciencesHealth Management and Social Development Research Center, Golestan University of Medical SciencesDepartment of Microbiology, School of Medicine, Golestan University of Medical SciencesAbstract Objective Inflammatory bowel diseases (IBD), such as Crohn’s disease (CD) and ulcerative colitis (UC), are chronic conditions primarily affecting the intestines. This study aims to identify the nature and frequency of oral symptoms and signs in patients with ulcerative colitis and to explore the connection between these complications and the activity of the disease. Methods This descriptive-analytical study involved ulcerative colitis patients who visited the gastroenterology clinic at Shahid Sayad Shirazi Hospital in Gorgan, along with an equal number of healthy companions as a control group in 2019. A gastroenterology internist assessed the disease severity through clinical examination and a simple clinical disease activity index for colitis patients. The collected data were then analyzed statistically using SPSS version 19. Results The average age of patients in the case group was 41.84 ± 11.66 years, while in the control group it was 40.43 ± 12.67 years. There was a significant correlation between difficulty swallowing, burning sensation in the mouth, vomiting, acidic taste, the presence of oral ulcers, and a coated tongue with the severity of disease activity (p < 0.05). However, no significant relationship was found between other variables and the severity of disease activity (p > 0.05). Conclusion The results of this study confirm that as the severity of ulcerative colitis increases, the occurrence of oral lesions also rises, particularly during severe disease activity. Among oral symptoms, dry mouth had the highest incidence, followed by bad breath and changes in taste. The most common oral lesions observed were a coated tongue, grooved tongue, and oral ulcers, respectively.https://doi.org/10.1186/s12876-024-03472-9Inflammatory Bowel diseasesColitisUlcerativeOral manifestationsOral UlcerOral health
spellingShingle Nikta Taghizadeh Tabarsi
Nazanin Mortazavi
Alireza Norouzi
Sima Besharat
Nasser Behnampour
Negar Asgari
Association of oral manifestations with severity of the disease in ulcerative colitis patients
BMC Gastroenterology
Inflammatory Bowel diseases
Colitis
Ulcerative
Oral manifestations
Oral Ulcer
Oral health
title Association of oral manifestations with severity of the disease in ulcerative colitis patients
title_full Association of oral manifestations with severity of the disease in ulcerative colitis patients
title_fullStr Association of oral manifestations with severity of the disease in ulcerative colitis patients
title_full_unstemmed Association of oral manifestations with severity of the disease in ulcerative colitis patients
title_short Association of oral manifestations with severity of the disease in ulcerative colitis patients
title_sort association of oral manifestations with severity of the disease in ulcerative colitis patients
topic Inflammatory Bowel diseases
Colitis
Ulcerative
Oral manifestations
Oral Ulcer
Oral health
url https://doi.org/10.1186/s12876-024-03472-9
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