scholarly journals Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

2021 ◽  
Vol 6 (1) ◽  
pp. 01-05
Author(s):  
Daniel Jiménez Zaragoza ◽  
Jorge Paredes Vieyra ◽  
Francisco Javier Jiménez Enríquez
Keyword(s):  
Case Report ◽  
Skin Lesions ◽  
Sinus Tract ◽  
Purulent Discharge ◽  
Radiographic Examination ◽  
Odontogenic Infections ◽  
Facial Region ◽  
Dental Origin ◽  
The Face ◽  
Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

scholarly journals Case report on tuberous sclerosis

2021 ◽  
Vol 97 (2) ◽  
pp. 56-60
Author(s):  
Nadezhda V. Krasnova ◽  
Geliya G. Gimalieva ◽  
Larisa G. Sinitsyna
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Ct Scan ◽  
Tuberous Sclerosis ◽  
Skin Lesions ◽  
Visual Examination ◽  
Comprehensive Examination ◽  
The Face ◽  
The Brain ◽  
Tubular Bones

Patient M., 23 years old, consulted a dermatologist with complaints of rashes on the face, which had bothered since childhood. On objective examination, skin lesions were widespread. A visual examination revealed spots of hypopigmentation, angiofibromas of the face, shagreen fate of the skin, periungual fibromas. She was diagnosed with tuberous sclerosis. Further examination revealed a neoplasm in the brain and right kidney, damage to the lungs, tubular bones, lymphadenopathy. The patient continues to be monitored by a neurologist and therapist. Based on the results of CT scan of the chest organs, an oncologist's consultation was scheduled to conduct an oncology search. Thus, with skin manifestations characteristic of this disease, it is necessary to conduct a comprehensive examination to identify concomitant pathology and early diagnosis of complications.

scholarly journals A Case of Odontogenic Fistula Misdiagnosed as Cutaneous Ulcer on the Alar-Facial Angle

2020 ◽  
Vol 16 (3) ◽  
pp. 177-181
Author(s):  
Yoon Soo Kim ◽  
Byeong Seok Kim ◽  
Ho Sung Kim ◽  
Seok Kyung In ◽  
Hyung Suk Yi ◽  
...  
Keyword(s):  
Wound Dehiscence ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Skin Lesions ◽  
Sinus Tract ◽  
Epidermal Cyst ◽  
Cutaneous Fistula ◽  
Dental Origin ◽  
Cutaneous Ulcer ◽  
Disease Free

Odontogenic cutaneous fistula of dental origin at the alar-facial groove is rarely reported. As many patients present with only skin lesions without dental problems, it is often confused with a cyst, abscess or pyogenic granuloma. We report the case of a 52-year-old man who presented with a relapsing cutaneous ulcer in the left alar-facial groove area. Ultrasonography findings suggested a ruptured epidermal cyst, and an excisional biopsy was performed. At 10 days after the surgery, wound dehiscence and pus discharge were observed. Computed tomography revealed a sinus tract, and a diagnosis of odontogenic cutaneous fistula was made. After consultation with the dental department, endodontic treatment was performed. During reoperation, a remnant fistula from the left alar-facial groove area to the left upper central incisor was observed, for which fistulectomy was performed. The patient remained disease-free postoperatively. With early accurate diagnosis, patients with odontogenic cutaneous fistula can be protected from unnecessary surgical intervention and ineffective antibiotic therapy.

scholarly journals A Sino-orbitocutaneous Fistula from Local (Native) Tonsillectomy: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
N. E. Chinawa ◽  
M. I. Inoh ◽  
E. O. Edet
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Sinus Tract ◽  
Orbital Exenteration ◽  
The Face ◽  
Upper Lid ◽  
The Right ◽  
At Home

Background: Orbitocutaneous fistula is a known complication of orbital exenteration. Orbitocutaneous fistula arising from a tonsillectomy are quite uncommon. Risk factors for fistula development are sinus diseases, radiotherapy, inadvertent sinus penetration during mid-face and other related surgeries. Case Report: MS is a 16-year-old girl who presented with swelling of the right side of the face and neck of ten days duration following local tonsillectomy at home. Ocular examination findings showed lid swelling, ecchymosis, pus point in the medial third of the upper lid of the right eye which gave way and formed a sinus tract with the commencement of antibiotics.  Discussion: Although orbitosinocutaneous fistula is uncommon with tonsillectomy however fistulae may develop following poorly performed procedure by a non-professional who may tamper with the sinuses in the course of surgery. Since asepsis was not observed, there may have also been upward track of infection to the orbit. Conclusion: Orbitosinocutaneous fistula could be a complication of poorly performed tonsillectomy.

scholarly journals Erythema marginatum: an uncommon presentation of acute rheumatic fever in a Nigerian adolescent girl—a case report

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Barakat Adeola Animasahun ◽  
Faith O. Lawani ◽  
Moriam Omolola Lamina
Keyword(s):  
Case Report ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Skin Lesions ◽  
Secondary Prophylaxis ◽  
Pulmonary Artery Hypertension ◽  
Mitral Valves ◽  
Reticular Pattern ◽  
Uncommon Presentation ◽  
The Face

Abstract Background Erythema marginatum is an uncommon presentation in children with acute rheumatic fever and it is one of the major criteria needed to make a diagnosis. It is seen in less than 10% of cases. It is also reported to be difficult to detect in black-skinned children. This is the first and only patient to present with the above since the inception of the unit about 14 years ago and also the first to be reported in Nigeria as far as the authors are aware, after a careful literature search; hence, we report this case based on the rarity of this symptom of acute rheumatic fever. Case presentation This is a case report of O.E, a 12-year-old Nigerian girl who presented with features of acute rheumatic fever, and these features included the rare manifestation of erythema marginatum. She presented with generalized skin eruptions on the trunk and extremities, sparing the face, migratory polyarthritis, features of congestive heart failure and high grade continuous fever. The skin lesions consisted of papules, patches, plaques and polycycles with a reticular pattern having serpiginous and raised borders. Diagnostic investigations revealed elevated erythrocyte sedimentation rate of 83mm/h, anti-streptolysin O titer of 2020IU/L and echocardiography which showed thickened mitral valves with grade II mitral regurgitation and a mild pulmonary artery hypertension. The patient was treated with anti-inflammatory and anti-failure drugs and commenced secondary prophylaxis with benzathine penicillin. Skin eruptions resolved within 3 weeks of management and are currently on follow up. Conclusions We present the above to increase awareness on the possibility of acute rheumatic fever presenting with erythema marginatum in our region, to encourage early diagnosis of acute rheumatic fever to reduce morbidity and mortality from its sequel, rheumatic heart disease.

scholarly journals Juvenile sterile granulomatous dermatitis (puppy strangle) in Pekingese and German shepherd puppies

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Mohammad Abbaszadeh Hasiri ◽  
Efat Baghaei Moghaddam
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Bacterial Culture ◽  
Skin Lesions ◽  
Response To Therapy ◽  
Skin Scraping ◽  
German Shepherd ◽  
Present Case Report ◽  
The Face ◽  
Granulomatous Dermatitis

Juvenile sterile granulomatous dermatitis is an uncommon granulomatous and pustular disorder of the face, pinnae, and submandibular lymph nodes of puppies. A 10-week-old male Pekingese and a 8-week-old female German shepherd presented with submandibular lymphadenomegaly, skin lesions on muzzle and periocular area (Papules, crusts and pustules). The case did not respond to antibiotic therapy. Results of a hemogram, biochemical panel, and urinalysis were normal. Due to skin scraping, cytology examination (impression smear), fungal and bacterial culture and response to therapy puppy strangle (juvenile cellulitis) was diagnosed. The puppies made a full recovery on glucocorticoid therapy. The present case report describes the first report of juvenile sterile granulomatous dermatitis in Iran.

scholarly journals Palato-gingival groove: An innocuous culprit for endo-perio lesion

2016 ◽  
Vol 9 (3) ◽  
pp. 156
Author(s):  
Rafeza Sultana ◽  
Md. Shamsul Alam
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Clinical Management ◽  
Sinus Tract ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Developmental Defects ◽  
Adequate Knowledge ◽  
Maxillary Lateral Incisor ◽  
The Right

<p>This case report represents the clinical management of tooth with palato-gingival groove in a right maxillary lateral incisor with endo-perio lesion leading to dento-alveolar abscess and sinus tract. The right maxillary lateral incisor was examined clinico-radiographically. On clinical examination, the offending tooth revealed localized swelling and an intraoral draining sinus pointing on the labial gingiva without any evidence of caries, discoloration and trauma. The palatal surface of lateral incisor showed a groove with mild calculus embedded in it. The radiographic examination revealed periapical radiolucency. This case provides an evidence of morphological defect of tooth. Complete clinical and radiological examination and adequate knowledge of such morphological/ developmental defects of teeth are necessary for recognition and identification especially because of their diagnostic complexity and further consequences.</p><p> </p>

scholarly journals Interdisciplinary Management of Complex Regional Pain Syndrome of the Face

2016 ◽  
Vol 96 (7) ◽  
pp. 1067-1073 ◽  
Author(s):  
Luke Parkitny ◽  
Benedict Martin Wand ◽  
Carl Graham ◽  
John Quintner ◽  
G. Lorimer Moseley
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Facial Pain ◽  
Physical Therapist ◽  
Pain Syndrome ◽  
Careful Examination ◽  
Clinical Psychologist ◽  
Facial Region ◽  
The Face

Abstract Background and Purpose Orofacial pain disorders are relatively uncommon and pose a substantial diagnostic challenge. This case report documents the diagnosis and management of hemifacial pain in a patient who was referred to an interdisciplinary pain medicine unit. The purpose of this case report is twofold. First, it presents complex regional pain syndrome (CRPS) as a potential differential diagnosis in cases of facial pain. Second, it describes the successful adaption of contemporary management approaches for distal-extremity CRPS to treat people with CRPS of the facial region. Case Description The patient had hemifacial pain and concomitant motor and autonomic symptoms after a small laceration of the eyelid. Extensive specialist medical evaluations were undertaken to exclude an underlying structural pathology. After detailed clinical assessments by a physical therapist, pain physician, and clinical psychologist, a diagnosis of CRPS involving the face was made. Outcomes The patient's pain was largely unresponsive to pharmacological agents. A modified graded motor imagery program, together with desensitization and discrimination training, was commenced by the physical therapist and clinical psychologist. A positive clinical response was indicated by a decrease in allodynia, normalization of motor control, and regained function in activities of daily living. Discussion Complex regional pain syndrome is an infrequently reported differential diagnosis that can be considered in patients with persistent facial pain. This case report highlights how careful examination and clinical decision making led to the use of an innovative therapeutic strategy to manage a challenging condition.

scholarly journals Cutaneous dental sinus of submental region: An eight years follow-up

2018 ◽  
Vol 91 (3) ◽  
pp. 351-356
Author(s):  
Pallav Mahesh Patni ◽  
Pradeep Jain ◽  
Hemalatha Hiremath ◽  
Swadhin Raghuwanshi ◽  
Prashansa Vijaywargia ◽  
...  
Keyword(s):  
Root Canal ◽  
Sinus Tract ◽  
Purulent Discharge ◽  
Cutaneous Lesions ◽  
Dental Origin ◽  
Dental Hospital ◽  
Amoxicillin Clavulanate ◽  
History Of ◽  
Antibiotic Coverage

A 22-year-old female patient had a history of a 7-month recurrent pus discharge from her chin. She had been previously treated by physicians, dermatologist, and surgeons. The sinus kept re-occurring and she was referred to dental hospital for opinion.The patient had cutaneous opening of size 5mm × 6mm with purulent discharge in submental region. Patient had undergone three surgical excisions and multiple antibiotic regimens. Patient had a history of trauma due to fall six years back. A 30 number standard gutta-percha was used to trace the sinus tract and dental origin was confirmed radiographically. The tract led to in-between the root canal apices of both mandibular incisors. Treatment included non-surgical endodontic treatment with both mandibular central incisors and antibiotic coverage following bacterial culture of discharge. The pus culture showed Streptococcus anginosus which was found to be sensitive to penicillin. Patient was kept on 1-week course of oral amoxicillin-clavulanate along with root canal therapy.The cutaneous sinus healed following root canal treatment and antibiotic coverage. On an 8-year follow-up skin of sub-mental region appeared normal and peri-apical healing with both mandibular central incisors was evident radiographically. Cutaneous lesions on face may be of dental origin. A cross referral between dentists, physicians, surgeons, and dermatologists should be considered in such cases.

scholarly journals Iatrogenic Cutaneous Sinus Tract of Dental Origin: Case Report

2015 ◽  
Vol 2 (2) ◽  
pp. 96-98
Author(s):  
Özlem Atan ◽  
Ahmet Küçükçelebi ◽  
Çavgın Özman
Keyword(s):  
Case Report ◽  
Sinus Tract ◽  
Dental Origin ◽  
Cutaneous Sinus

scholarly journals Dermatomyositis from cutaneous changes to chronicity, a case report

2021 ◽  
Author(s):  
Beatriz Cassarotti ◽  
Lucas de Oliveira Pointo Bertoldi ◽  
Alana Strucker Barbosa ◽  
Isabela Silva Souza ◽  
Eduardo Silveira Marques Branco ◽  
...  
Keyword(s):  
Case Report ◽  
Skin Pigmentation ◽  
Inflammatory Myopathy ◽  
Bimodal Distribution ◽  
Skin Lesions ◽  
Rapid Progression ◽  
Select Group ◽  
Important Relationship ◽  
The Face ◽  
History Of

Context: Dermatomyositis is an inflammatory myopathy, which results from loss of tolerance to a select group of autoantigens, with an incidence of approximately 0.8 to 1.2 per 100,000, of bimodal distribution, more frequent in women, with important relationship with paraneoplasia, usually responsive to treatment. Case report: female, 65 years old, black, rural worker, with history of increased skin pigmentation in early 2019. After two months, she was bedridden, with dysphagia. Physical examination revealed paresis, poikiloderma on the face, alopecia, remnants of uper back shawl sign, Heliotrope and Gotron sign. Complementary investigation showed: aldolase 20.4 / 31; CPK: 521/220/207. Anatomopathological examination of skin biopsy reveald superficial and discrete lymphocytic dermatitis with focal pigmentary incontinence; electroneuromyography presented myopathic pattern in the four limbs. Paraneoplastic investigation was negative. There was a response to corticosteroids and metotrexato. Conclusions: The case shows a rapid progression from cutaneous symptoms to chronic symptoms and highlights the importance of recognizing skin lesions in view of the possible differential diagnoses in the neurology specialty, prior to the onset of the classic clinical picture and the appearance of chronic symptoms.

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