scholarly journals An Unusual Early Oral Presentation of Acromegaly: A Case Report

2021 ◽  
Vol 16 (2) ◽  
pp. 253-258
Author(s):  
Ayat Gamal-AbdelNaser
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Oral Cavity ◽  
Male Patient ◽  
Progressive Disease ◽  
Alveolar Bone ◽  
Signs And Symptoms ◽  
Pituitary Tumour ◽  
Clinical Suspicion ◽  
Early Sign

Acromegaly is a devastating chronic slowly progressive disease. Its early diagnosis is a challenging issue that necessitates clinical suspicion of signs and symptoms as a first step. This report introduces an unusual early sign in the oral cavity that lead to the early diagnosis of an acromegaly case. A case of a healthy 40-year-old male patient presented with progressively growing multiple hard swellings in the upper and lower jaws. Clinical examination revealed bony hard multiple small spiky exostosis-like swellings, located at the maxillary and mandibular alveolar bones. An array of investigations revealed a 2-mm diameter pituitary tumour in MRI of sella. To the best of the author’s knowledge, this is the first report of spiky exostosis-like growths in the alveolar bone as an early sign of acromegaly. In this case, thorough examination of oral signs and symptoms was the first step for early diagnosis and hence, better prognosis for acromegaly.

scholarly journals Orthodontic Management Of An Erupted Mesiodens: A Case Report

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Noraini Bt Abu Bakar
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Male Patient ◽  
Alveolar Bone ◽  
Functional Result ◽  
Supernumerary Tooth ◽  
Anterior Maxilla ◽  
End Of Treatment ◽  
Functional Problems ◽  
Regular Number

Introduction: Hyperdontia is the condition of having supernumerary tooth, or teeth, which appear in addition to the regular number of teeth. It is a developmental anomaly and has been argued to arise from multiple aetiologies. It may remain embedded in the alveolar bone or can erupt into the oral cavity. Mesiodens is a supernumerary tooth located in the anterior maxilla, placed palatally or in between the maxillary central incisors. It may be single or paired, erupted or impacted and at times even inverted. Aesthetic or functional problems are two main issues associated with mesiodens.This case report demonstrates the orthodontic management of a case of a nonsyndromic male patient with conical type supernumerary tooth at the maxillary anterior region with a Class I malocclusion complicated by palatally erupted upper right lateral tooth with Bolton discrepancy. Good aesthetic and functional result achieved at the end of treatment.

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

scholarly journals Diagnosing isolated hepatosplenic tuberculosis in an immunocompetent patient: a case report

2018 ◽  
Vol 48 (3) ◽  
pp. 232-234
Author(s):  
Om Dawani ◽  
Raja Samir Khan ◽  
Mujtaba Jamal Syed ◽  
Abdul Moid Shehzad ◽  
Ahmed Alratoot ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
World Health Organization ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
World Health ◽  
Drug Resistant ◽  
Health Organization ◽  
Specific Symptoms ◽  
Strong Suspicion

For many years, tuberculosis (TB) has been endemic in Pakistan; many rare and unusual presentations have been reported. There is a myriad of non-specific symptoms which always requires a high index of clinical suspicion for TB. World Health Organization data suggest that Pakistan ranks as the fifth highest country burdened with TB and has the fourth highest prevalence of multi-drug resistant TB globally. With an annual incidence of 277 cases per 100,000, the importance of early diagnosis and treatment is self-evident. We present a case where a strong suspicion of isolated hepatosplenic TB in an immunocompetent patient justified a directed approach.

Diagnostic challenges in tuberculous otitis media

2010 ◽  
Vol 124 (8) ◽  
pp. 913-915 ◽  
Author(s):  
I P Tang ◽  
N Prepageran ◽  
C A Ong ◽  
P Puraviappan
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Antibiotic Therapy ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Middle Ear Infection ◽  
Clinical Presentations ◽  
Tuberculous Otitis Media ◽  
Systemic Antibiotics

AbstractObjectives:To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.Case report:We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.Conclusions:A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.

Avascular necrosis of the jaw in multiple myeloma (MM) patients (pts) treated with bisphosphonates (BP)

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 18538-18538
Author(s):  
L. Curreli ◽  
A. D. Palmas ◽  
G. Latte ◽  
A. Murgia ◽  
A. Gabbas
Keyword(s):  
Oral Cavity ◽  
Progressive Disease ◽  
Alveolar Bone ◽  
High Dose ◽  
Allogenic Bone ◽  
History Of Disease ◽  
Aggressive Surgical Approach ◽  
History Of ◽  
The Right

18538 Background: Oral cavity avascular bone necrosis (ABN) has been recently reported as an emerging serious complication in pts receiving BP for the treatment of hypercalcemia related to MM or metastatic solid tumors. Methods: We report the cases of 6 pts with MM treated initially with pamidronate and later with zoledronic acid (ZA). Results: Pts characteristics : M/F 3/3; mean age 58.4 (46–78); 4 IgG κ,1 γ and 1 κ MM; 5 St IIIA and 1 IIIB; mean history of disease 61.3 mo. (23–103); 5 pts had a relapsing MM refractory to several lines of therapy but 1 pt had received only high dose dexametazone (D); 2 pts had received autologous stem cell transplantation and 1 pt allogenic bone marrow transplantation; mean n.° of BP doses was 41.3 (17–81). At the time of ABN onset all pts were receiving ZA along with, respectively: D (2 pts); cyclophosphamide plus D (1 pt), bortezomib plus D (2 pts) and oral melphalan (1 pt). ABN was localized in 2 pts at alveolar bone of the right maxilla and presented as an inflammation of the gum, followed by a painful bone exposure. In the other 4 pts ABN was localized at mandible and presented as dental abscesses followed in 2/4 pts by cutaneous fistulization. Treatment has included in all pts discontinuation of ZA, antibiotics, chlorhexidine mouthwashes, pain control, minor regional débridement, and bone trimming. In 1 pt a more aggressive surgical approach was attempted at an other Institution and postoperative course was complicated by massive haemorrhage and complete loss of chewing. Four pts dead with progressive disease with a mean overall survival after ABN presentation of 6 mo.; 2 pts are alive after 3 and 4 mo. after ABN presentation; however in all pts ABN significantly worsened quality of life. Conclusions: Oral cavity ABN is a severe complication in refractory MM pts receiving BP. Mechanisms of action of BP that determine a reduction in osteoclastic activity and an accumulation of nonvital osteocytes with microfractures of old mineral matrix appear to play an important role. However other causes may be involved as a long history of disease; an uncontrolled progressive disease; type and doses of previous and present therapies, primarily steroids; status of oral cavity and teeth of pts and possibly the n.° of doses of BP. No significant financial relationships to disclose.

scholarly journals Familial Progressive Hyperpigmentation: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Monica Yadav ◽  
Sugandha Ghonasgi ◽  
Rohit Shah ◽  
S. M. Meghana
Keyword(s):  
Case Report ◽  
Family History ◽  
Oral Cavity ◽  
Male Patient ◽  
Genetic Basis ◽  
Unusual Case ◽  
Early Infancy ◽  
Mucous Membranes

Familial progressive hyperpigmentation (FPH) is a rare genodermatosis characterized by hyperpigmented patches in the skin and mucous membranes, present in early infancy, and increase in size and number with age. The genetic basis for FPH remains unknown. We report an unusual case of familial progressive hypermelanosis in a 17-year-old male patient with family history, who presented with a peculiar progressive oral pigmentation disorder. Diagnosis was confirmed by a series of hematological, biochemical, and histopathological investigations. Our paper stresses the need for the dentist to be aware of the systemic conditions that can also manifest in the oral cavity.

scholarly journals An Unusual Presentation of Peripheral Ossifying Fibroma in an Elderly Male - A Case Report

2021 ◽  
Vol 10 (33) ◽  
pp. 2847-2850
Author(s):  
Shahira Shahira ◽  
Biju Thomas ◽  
Amitha Ramesh ◽  
Santhosh Shenoy ◽  
Anegundi Raghavendra Vamsi
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Male Patient ◽  
Periodontal Ligament ◽  
Ossifying Fibroma ◽  
Minor Trauma ◽  
Central Type ◽  
Peripheral Ossifying Fibroma ◽  
Peripheral Type ◽  
Reactive Processes

Peripheral ossifying fibroma (POF) is a reactive process of the gingiva that develops due to irritation or minor trauma. Females are more affected than males suggesting a hormonal influence. This case report describes a case of peripheral ossifying fibroma in a 48-year-old male patient in 33, 34 regions in contrast to its common occurrence in young females. Histopathological examination is necessary to confirm the diagnosis. Surgical excision is the treatment of choice to prevent recurrence. One year follow up of the case showed no signs of recurrence. Gingival overgrowth is a common feature of the various types of gingival disease in the oral cavity. Gingival diseases and conditions can be due to genetic disorder, specific infections, inflammatory and immune conditions and lesions, reactive processes, neoplasms, endocrine, nutritional, and metabolic diseases, traumatic lesions and gingival pigmentation.1 Reactive processes are non-neoplastic nodular swellings that develop in response to local irritation or minor trauma. The term epulis is exophytic processes confined to the gingiva.2 Kfir et al. classified epulides into fibrous epulis, peripheral ossifying fibroma, pyogenic granuloma (vascular epulis), peripheral giant cell granuloma (or central).3 Ossifying fibromas in the oral cavity can be classified into central and peripheral type. The central type expands from the medullary cavity of the bone, arising from the endosteum or the periodontal ligament (PDL) adjacent to the root apex. Peripheral type arises from the soft tissues overlying the alveolar process which is contiguous with the periodontal ligament. 4 This article presents a case of POF in a male patient.

scholarly journals AN AYURVEDIC APPROACH ON DARUNAKA – A Case Report

2020 ◽  
Vol 08 (11) ◽  
pp. 5193-5198
Author(s):  
Sruthi O
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Herbal Medicines ◽  
Signs And Symptoms ◽  
Chief Complaint ◽  
Common Condition ◽  
Seborrhoeic Dermatitis ◽  
Aged People ◽  
Contemporary Science ◽  
Before And After

In the present era, Dharunaka is a common condition mostly affecting children to middle aged people due to improper lifestyle, lack of hygiene and stress. There is no specific etiology explained in Any Ayurvedic texts. Dharunaka can be compared with seborrhoeic dermatitis / Dandruff in contemporary science. Maintenance of proper hygiene is the most important thing in this disease. Otherwise the chances of recurrence are more. With Ayurvedic formulations we can give good result in this condition. A 30-year-old male patient with chief complaint of itching on the scalp, dryness on scalp and hairfall came to our hospital and herbal medicines like Aragwadadi Kashayam (orally), Triphala Choornam (external), Tankanabasma, Manjishtadi Kashayam, Prapoundarika Tailam were given and procedures like Shiroabhyanga with Durdoorapathradi oil and Nasya with Prapoundarikadi oil also given. This medication was found very effective in controlling signs and symptoms of Dharunaka and improving the overall condition of the scalp. The improvement provided by the treatment is assessed on the basis of sign and symptoms before and after the treatment.

scholarly journals Surgical Management of Mandibular Central Incisors with Dumbbell Shaped Periapical Lesion: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Roopadevi Garlapati ◽  
Bhuvan Shome Venigalla ◽  
Jayaprakash D. Patil ◽  
Thumu Jayaprakash ◽  
C. H. Krishna Chaitanya ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Male Patient ◽  
Root Canal ◽  
Alveolar Bone ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Traumatic Injuries ◽  
Cystic Changes ◽  
One Year

Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. This case report focuses on the conventional and surgical management of mandibular central incisors. A twenty-four-year-old male patient presented with pain in the mandibular central incisors. Radiographic examination revealed mandibular central incisors with dumbbell shaped periapical lesion. After root canal treatment, parendodontic surgery was performed for mandibular central incisors. After one-year recall examination, the teeth were asymptomatic and periapical lesion had healed.

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