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Nipple trauma in infants? Bednar aphthae
Antonella Tricarico1, Gabriele Molteni, Francesco Mattioli
1Department of Pediatrics, University of Modena and Reggio Emilia, Italy.
Insights
Bednar aphthae are common oral lesions in infants caused by trauma, often misdiagnosed. Early identification and supportive care can alleviate discomfort and improve feeding in newborns.
Area of Science:
- Pediatrics
- Oral Medicine
Background:
- Bednar aphthae are traumatic lesions on the hard palate of infants.
- These lesions typically resolve spontaneously within days.
- They can cause feeding difficulties and pain.
Observation:
- A case of a 2-month-old infant presenting with oral aphthous lesions.
- Symptoms included irritability and crying during feeding.
- Infectious and underlying disease factors were ruled out.
Findings:
- Lesions were consistent with Bednar aphthae, a traumatic condition.
- Resolution occurred following breastfeeding advice.
- Photographic documentation is crucial for diagnosis.
Implications:
- Increased awareness can improve the diagnosis of Bednar aphthae.
- Physicians can better differentiate these from other oral conditions.
- This aids in managing infant feeding issues related to oral trauma.
Introduction:
Bednar aphthae are infected wounds caused by trauma, localized to the hard palate in infants. They do not require specific treatment because they regress spontaneously in a few days. They often remain undiagnosed; other times, because of the pain they caused, they may worsen the nursing.
Case Report:
We describe the clinical case of a healthy infant of 2 months, fed with formula, who has 2 aphthous lesions in the oral cavity associated with irritability and inconsolable crying during feeding. We excluded the influence of infectious factors or underlying diseases. The hypothesis of a traumatic factor was supported by the anatomical features of aphthae and then confirmed by the gradual resolution of lesions after some advices on breastfeeding.
Conclusions:
Our intent is to provide a photographic record of Bednar aphthae, which are quite common but often misdiagnosed also because of lacking of photographic material. Improved knowledge of this condition helps physicians in the differential diagnosis of a traumatic condition that is not as unusual as it seems in newborns.
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