Hematinic deficiencies in patients with recurrent aphthous stomatitis: variations by gender and age

Med Oral Patol Oral Cir Bucal. 2018 Mar 1;23(2):e161-e167. doi: 10.4317/medoral.21885.


Background: The aim of this study was to evaluate the association between hematinic deficiencies and recurrent aphthous stomatitis (RAS).

Material and methods: 517 RAS patients and 187 healthy controls were enrolled in the present study. Hematinic deficiencies, including serum ferritin, folic acid, and vitamin B12 deficiencies were assessed for each participant. Gender and age were taken into account and the collected data were statistically analysed.

Results: Compared with the healthy controls, a significantly higher overall frequency of hematinic deficiencies was found in RAS patients (p<0.001). When gender and age were taken into account, significant differences in hematinic deficiencies were observed among RAS patients. Serum ferritin deficiency was much more common in young and middle-aged female RAS patients (age<60). Serum folate deficiency and serum vitamin B12 deficiency were both much more common in the young adult group of male RAS patients (21-40 years of age). Logistic regression analysis revealed that both gender and age have significant correlation with the presence of hematinic deficiencies in the RAS patients.

Conclusion: Significant variations in hematinic deficiencies were demonstrated in RAS patients across different genders and age groups. We suggest that further studies on the hematinic deficiencies of RAS patients should take into account the gender and age of participants.

MeSH terms

  • Adult
  • Age Factors
  • Female
  • Ferritins / deficiency*
  • Folic Acid Deficiency / complications*
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Sex Factors
  • Stomatitis, Aphthous / etiology*
  • Vitamin B 12 Deficiency / complications*
  • Young Adult


  • Ferritins