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4.4 Pain from Other Causes
Ulcerations
Ulcerations
Both painful and painless ulcerations can be caused by a variety of factors,
including the following:
- Hand, foot, and mouth disease.
This condition tends to pass through child populations, so other
individuals with whom the child has contact may be affected. The soles
of the feet and palms of the hands have dry desquamating surfaces.
- Chickenpox or measles. Children
with these diseases have skin lesions all over the body.
- Trauma. Whether self-inflicted
or the result of abuse, trauma must be considered when there are isolated
ulcers. Apthous ulcers may elicit a history of recurrence as well
as a general health history of gastrointestinal or allergic problems.
Joint Disorders
Temporomandibular joint (TMJ) disorders in young children are rare, owing to
the immaturity of the joint structures and the resiliency of both hard and
soft tissues. Jaw movements may be deviated, and popping and clicking may occur,
but these symptoms are seldom related to TMJ disorders. TMJ disorders usually
result from trauma or juvenile rheumatoid arthritis.
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