scholarly journals CLINICAL MANIFESTATIONS OF SARCOIDOSIS ON THE PROLABIUM AND ORAL MUCOSA: MANAGEMENT

2018 ◽  
pp. 34-36
Author(s):  
P.M. Skrypnikov ◽  
T.P. Skrypnikova ◽  
Yu.M. Vitko
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Correct Diagnosis ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Morbidity Rate ◽  
Unknown Etiology ◽  
Toxic Substances ◽  
Male Population ◽  
Female Population

The statistics indicates on the tendency of morbidity rate of sarcoidosis to increase. The pathology affects young and older people notably. Sarcoidosis becomes a common chronic disease, which is often difficult to diagnose. Insufficient experience in recognition of this disease leads to misdiagnosis and ineffective treatment. All mentioned above highlights the extreme relevance of this issue. Sarcoidosis is a multisystem inflammatory nature disease of unknown etiology. The hereditary predisposition is taken to be but the whole family cases are also known. An abnormal immune response is also considered among the theories of the development of the disease. The infectious factor is also regarded as the cause of the disease. The increasing activity of lymphocytes, which start to produce substances promoting the formation of the granulomas, which are considered to be the basis for the pathological process, can initiate the onset of the disease. The maximum morbidity rate of sarcoidosis is observed between the ages of 35 to 55 years. Two age periods of the peak in male population are 35-40 years and about 55 years. The rate of sarcoidosis morbidity among female population is 65%. Up to 700 new cases of sarcoidosis are registered in Ukraine annually. The clinical signs of sarcoidosis vary. This pathology is more often manifested by the bilateral lymphadenopathy of lung roots, eyes and skin lesions. The liver, spleen, lymph nodes, heart, nervous system, muscles, bones and other organs can also be affected. In dental practice sarcoidosis can be manifested on the prolabium, oral mucosa and salivary glands. Blood laboratory indices (the increased level of calcium) are changed in sarcoidosis. Chest X-ray, MRI and CT also demonstrate changes in the lungs. The test for detection of granulomas shows positive Kveim reaction (the formation of purple-red nodules due to administration of antigen). Biopsy and bronchoscopy facilitate detection of both direct and indirect signs of sarcoidosis of the lungs. A general treatment of sarcoidosis is provided by a pulmonologist, who can assess the severity of the lesion and provide appropriate treatment. The core of treatment is based on corticosteroids. In severe cases immunosuppressors, anti-inflammatory drugs, antioxidants are prescribed. A dentist performs oral cavity sanation, professional hygiene. Mouth rinses with Dekasan solution, sublingual Lisobakt pills are prescribed to prevent inflammatory lesions. Patients with sarcoidosis are recommended to avoid solar radiation and contact with chemical and toxic substances harmful to the liver, reduction of the consumption of foods rich in calcium. Healthy life-style is crucial in prevention of exacerbations of sarcoidosis. In the remission period regular medical check-ups and oral cavity sanation are recommended. The correct diagnosis in rare diseases requires highly qualified dental professionals, the interdisciplinary approach in the diagnosing and management of patients with this pathology.

scholarly journals Geographic Stomatitis with Multiple Areas Involvement of Oral Cavity: A Case Report and Review of Literatures

2021 ◽  
Vol 10 ◽  
pp. 2107
Author(s):  
Farid Abbasi ◽  
Aliyeh Sehatpour ◽  
Seyed Masoud Sajedi ◽  
Parisa Bahadori ◽  
Mohadeseh Nouri
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Oral Mucosa ◽  
Benign Lesion ◽  
Ventral Surface ◽  
Unknown Etiology ◽  
Clinical Appearance ◽  
Clinicopathologic Findings ◽  
Characteristic Features ◽  
Rule Out

Background: Geographic stomatitis is an uncommon migratory benign lesion of oral mucosa with unknown etiology. It can affect all the areas of the oral mucosa, but the dorsum and lateral borders of the tongue are the most commonly involved areas called geographic tongue. The clinical appearance of this condition is the oval or circular erythematous areas with irregular elevated keratotic borders. These characteristic features of geographic stomatitis are diagnostic for all clinicians when appearing on the dorsum of the tongue, despite other affected areas of oral mucosa that can confuse clinicians. This condition may be associated with some diseases such as psoriasis, Reiter’s syndrome, and atopic conditions, so the clinicians should rule out these diseases and diagnose the geographic stomatitis. Case Report: A 17-year-old male attended to our department for a routine dentistry checkup. During the intraoral examination, we found multiple erythematous areas surrounded by a thin white border on different surfaces of his oral cavity. His extraoral examinations were completely normal. Conclusion: Due to the rarity of this lesion on the other sites of oral mucosa rather than dorsum and lateral borders of the tongue such as labial mucosa, buccal mucosa, the floor of the mouth, ventral surface of the tongue, and palate, it is necessary to report, study and evaluate each case of this condition that clinicopathologic findings have confirmed this diagnosis, to treat and advice these patients on the best approach. [GMJ.2021;10:e2071]

scholarly journals An unusual pediatric clinical case of atypical pyoderma gangrenosum

2020 ◽  
Vol 48 (4) ◽  
pp. 263-270
Author(s):  
T. G. Sedova ◽  
V. D. Elkin ◽  
A. A. Zhukova
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Oral Mucosa ◽  
Pyoderma Gangrenosum ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Diagnostic Errors ◽  
Unknown Etiology ◽  
Neutrophilic Dermatoses ◽  
Pyostomatitis Vegetans

Pyoderma gangrenosum (PG) belongs to the group of neutrophilic dermatoses with unknown etiology and poorly understood pathogenesis. In children, PG is primarily associated with inflammatory bowel diseases (Crohn's disease and ulcerative colitis). By now, about 355 PG cases have been described worldwide, including 15 children with the involvement of oral mucosa. Clinical manifestations of the disease are diverse and depend on the form, stage and associated conditions. Such a rare PG as pyodermatitis-pyostomatitis vegetans manifests by combined lesions of the oral mucosa and skin. The authors present historical data on the investigation of the disease, its etiology, pathogenesis, risk factors, and clinical picture. A description of a rare clinical case of severe form of atypical PG, namely, pyodermatitis-pyostomatitis vegetans in a 10-year-old child, is presented. The unique character of the case is related to the variety of clinical manifestations and the clinical course complicated by the development of keloid and partial scar-related flexion contracture of the upper and lower extremities, the formation of microstoma and cachexia. The association of pyodermatitis-pyostomatitis vegetans with Crohn's disease was found. The lack of awareness of the clinical symptoms of this rare disease has led to diagnostic errors and late diagnosis.

scholarly journals Clinical analysis of cases of lichen ruber planus in the oral cavity

2021 ◽  
Vol 2 (6) ◽  
pp. 46-52
Author(s):  
Irina K. Lutskaya ◽  
◽  
Olga G. Zinovenko ◽  
Irina O. Beloivanenk ◽  
◽  
...  
Keyword(s):  
Oral Cavity ◽  
Inpatient Treatment ◽  
Skin Diseases ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Local Therapy ◽  
Clinical Analysis ◽  
General Effect ◽  
Lichen Ruber ◽  
Lichen Ruber Planus

The manifestation of skin diseases in the oral cavity can be detected by doctors of any profile during the interview and examination of the patient. Often, the diagnosis is carried out by a dentist. A thorough diagnostic search allows you to determine the main clinical manifestations and treatment tactics. The dentist independently prescribes local therapy. A complex general effect is recommended by a dermatologist. Severe cases require inpatient treatment. A correct diagnosis and adequate medical measures improve the general condition and the local clinical picture, as well as contribute to a stable remission of the disease.

On the clinical course of multiforme exudative erythema of the oral cavity (literature review)

2020 ◽  
Vol 25 (1) ◽  
pp. 71-74
Author(s):  
A. I. Bulgakova ◽  
Z. R. Hismatullina ◽  
M. V. Zatsepina ◽  
J. A. Kudryavtseva
Keyword(s):  
Literature Review ◽  
Oral Cavity ◽  
Mucous Membrane ◽  
Oral Mucosa ◽  
Erythema Multiforme ◽  
Clinical Picture ◽  
Clinical Course ◽  
Clinical Manifestations ◽  
Timely Diagnosis ◽  
Mucous Membranes

Relevance. Multiform exudative erythema is a polyetiological disease, which is characterized by damage not only to the skin, but also to the mucous membranes, mainly the mucous membrane of the oral cavity. The article reviews the literature on the clinical course of multiform exudative erythema of the oral cavity.Purpose. Study the clinical course of erythema multiforme.Materials and methods. We conducted a review of studies of the etiology, pathogenesis, prevalence of erythema multiforme according to domestic and foreign authors, and also reflected the identification of various forms and clinical manifestations of this disease.Results. The analysis of clinical manifestations of erythema multiforme exudative in the oral cavity, the most common symptoms and manifestations on the oral mucosa.Conclusion. The clinical picture of lesions of the oral mucosa in multiform exudative erythema is very diverse, which is important for the timely diagnosis of the disease.

scholarly journals Features of clinical manifestations, diagnostics and treatment of oral mucosa multi-formed exudative erythema

2021 ◽  
pp. 116-122
Author(s):  
Ya. A. Lavrovskaya ◽  
I. G. Romanenko ◽  
O. M. Lavrovskaya ◽  
O. N. Postnikova ◽  
T. A. Logadyr
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Successful Treatment ◽  
Erythema Multiforme ◽  
Clinical Manifestations ◽  
Pathological Changes ◽  
Etiological Factors ◽  
Treatment And Prevention ◽  
Joint Treatment

The article discusses etiological factors, pathogenesis, features of clinical manifestations, optimization of diagnosis, treatment and prevention of exudative erythema multiforme of the oral cavity. Currently, such pathological changes in the oral cavity are insufficiently studied and remain relevant in modern dentistry. Promising approaches to the successful treatment of this disease involve the implementation of additional examination and joint treatment with related specialists. Numerous studies of domestic and foreign authors demonstrate that special attention is paid to the prevention of re-morbidity of exudative erythema multiforme, aimed at preventing the occurrence of lesions of the oral mucosa.

scholarly journals Primary oral mucosa-associated lymphoid tissue (MALT) lymphoma in patient with monoclonale gammopathy: a rare case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilal Hafian ◽  
Hubert Schvartz ◽  
Martine Patey ◽  
Anne Quinquenel
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Malt Lymphoma ◽  
Monoclonal Gammopathy ◽  
Imaging Techniques ◽  
Clinical Signs ◽  
Biological Reality ◽  
Rare Case Report ◽  
History Of

Abstract Background Monoclonal gammopathy is a biological reality encountered in approximately 1% of the general population. In the absence of clinical and biological signs, it is considered of undetermined significance; however, it can be a biological signature of a monoclonal lymphocytic or plasma-cell proliferation. Their localisation to the oral mucosa remains rare and difficult to diagnose, particularly in indolent forms that escape imaging techniques. Case presentation Here, we report the case of a 73-year-old woman with a history of IgM kappa gammopathy followed for 13 years. The patient did not have a chronic infection or an autoimmune disease, and all the biological investigations and radiological explorations were unremarkable during this period. The discovery of a submucosal nodule in the cheek led to the diagnosis of MALT lymphoma and regression of half of the IgM kappa level after resection. The review of the literature shows the dominance of clinical signs (i.e., a mass or swelling) in the diagnosis of primary MALT lymphomas of the oral cavity after surgical resection. Conclusions Our case illustrates the role of examination of the oral cavity in the context of a monoclonal gammopathy. The absence of clinical and radiological evidence in favor of lymphoplasmacytic proliferation, does not exclude a primary indolent MALT lymphoma of the oral mucosa.

scholarly journals Glossitis by Actinobacillus equuli subsp. equuli in an Equine

2019 ◽  
Vol 48 ◽  
Author(s):  
Hugo Shisei Toma ◽  
Mariana Bueno Carvalho ◽  
Armando De Mattos Carvalho ◽  
Raquel Aparecida Sales da Cruz ◽  
Fábio Bernardo Schein ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Complete Blood Count ◽  
Clinical Signs ◽  
Opportunistic Pathogen ◽  
Dental Procedure ◽  
Ulcerative Lesions ◽  
Biochemical Analyses ◽  
Ceftiofur Sodium ◽  
Base Of The Tongue

Background:Actinobacillosis in adult horses is rare, and is often associated with infection due to Actinobacillus equuli subsp. equuli, which is a commensal organism inhabiting the oral cavity of healthy animals. It is an opportunistic pathogen, and the infection usually occurs secondary to another primary disease or due to predisposing factors such as pre-existing lesions, mainly in the oral cavity. Infection may be associated with peritonitis, bacterial endocarditis, pneumonia, enteritis, infectious periorchitis, abortion, and septicemia. This paper aims to describe the clinical, microbiological, and pathological aspects of actinobacillosis in the oral cavity of a horse.Case:A case of actinobacillosis has been reported in a 22-year-old gelding Quarter Horse. According to the owner, the animal presented with progressive weight loss during the previous three months, and leakage of food from the oral cavity. Examination of the oral cavity revealed sharp enamel overgrowths, which had been corrected during a previous dental procedure. However, five days after the procedure, the animal developed halitosis. Ceftiofur sodium (4.4 mg/kg intramuscularly, every 24 h) was prescribed; two days after the commencement of antimicrobial therapy, the animal presented with sialorrhea, bilateral submandibular lymphadenomegaly, protrusion of the tongue, edema of the base of the tongue, cheeks, and gums, in addition to black-colored sores and scales in the oral mucosa, particularly affecting the base of the tongue and gums. Samples from ulcerative lesions found at the base of the tongue and gums were collected using sterile swabs, and culture and antibiogram were requested. Microbiological culture led to the growth of small colonies measuring less than 5 mm in diameter, that were non-hemolytic, slightly whitish in color but non-opaque, smooth and bright in appearance. These were identified as gram-negative rods on microscopy, and further characterized as Actinobacillus equuli subsp. equuli based on the phenotypic and biochemical findings. The antibiogram revealed sensitivity of the organisms to cephalothin and doxycycline, intermediate sensitivity to amoxicillin, and resistance to florfenicol, metronidazole, clindamycin, and sulfazotrim. The complete blood count revealed anemia with a reduction in hemoglobin (10.1 g/dL) and hematocrit (27.9%), neutrophilia (10.670 x 10³ /mm³), and lymphopenia (330 x 10³ /mm³). Decrease in serum albumin (2.0 g/dL) and alkaline phosphatase (91 IU/L), and increase in globulin (4.9 g/dL), aspartate aminotransferase (361 4 IU/L), and urea (123.8 mg/dL) were noted on biochemical analyses. Two days after the onset of acute clinical signs, the animal died; necropsy revealed severe, subacute, fibronecrotic glossitis associated with myriads of basophilic bacteria.Discussion:This report describes an infection of the oral cavity by Actinobacillus equuli subsp. equuli following a dental procedure, a finding compatible with the opportunistic nature of these bacteria. The presence of enamel overgrowths resulted in the formation of traumatic lesions on the oral mucosa and tongue that favored colonization of the bacteria. The case of equine glossitis reported in this study had a similar clinical presentation to the classic actinobacillosis in cattle, also known as “wooden tongue”, an infection caused by Actinobacillus lignieresii; common symptoms in cattle include oral edema, sialorrhea, and dysphagia.

scholarly journals Two Cases of Delayed Diagnosis of Leprosy in Mauritania

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Boushab Mohamed Boushab ◽  
Fatima-Zahra Fall-Malick ◽  
Leonardo K. Basco
Keyword(s):  
Health Care ◽  
Correct Diagnosis ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
Health Care Facilities ◽  
World Health ◽  
Chemotherapeutic Regimen ◽  
First Case ◽  
Hands And Feet

Leprosy is a chronic infectious disease that mainly affects the skin, mucous membranes, and peripheral nervous system. The clinical manifestations of leprosy are numerous and polymorphic with the most frequent signs involving skin and neurological damage. Some of its manifestations, such as joint pain, are unusual. Its elimination as a public health problem in many countries seems to lead to a lack of practical knowledge among health care personnel and as a consequence a risk of late diagnosis. As in other countries, leprosy has become rare in Mauritania. We report two cases of misdiagnosed leprosy in two male patients aged 17 and 65 years. Clinical manifestations included polyarthritis, bilateral plantar perforation, and severely deformed hands and feet in the first case and lichenoid lesions, hypopigmented papules, and unilateral bronchial rales in the second case. The duration of development and persistence of clinical signs before establishment of correct diagnosis was seven to ten years despite the presence of anesthetic, hypochromic maculopapular skin lesions and neurologic signs suggestive of leprosy in both cases. A multilevel chemotherapeutic regimen recommended by the World Health Organization (WHO) was effective, and the patients’ condition evolved satisfactorily. The scarcity of leprosy in our health care facilities often leads to a wrong diagnosis. It is imperative to inform physicians to increase their vigilance for appropriate screening and reporting of these cases. The prognosis depends largely on early diagnosis and appropriate treatment.

scholarly journals Fungal lesions of the oral mucosa

2020 ◽  
Vol 102 (3) ◽  
pp. 72
Author(s):  
I. Mazur ◽  
Keyword(s):  
Risk Factors ◽  
Oral Cavity ◽  
Fungal Infection ◽  
Mucous Membrane ◽  
Oral Mucosa ◽  
Human Body ◽  
Clinical Manifestations ◽  
General Characteristic ◽  
Treatment Regimens ◽  
Classification And Treatment

Summary. The article presents data on the systematization of fungal lesions, which can be manifested in the oral cavity, their clinical manifestations and treatment regimens. The general characteristic of clinical manifestations in the case of a lesion of the mucous membrane of the oral cavity and the human body as a whole is a fungal infection. The most common diseases in the oral cavity are caused by yeast-like fungi of the genus Candida. The risk factors for the development of this infection, classification and treatment regimens for candidosis disease of the oral cavity are presented.

scholarly journals ORAL MANIFESTATIONS OF VIRAL INFECTIONS IN CHILDREN

2020 ◽  
pp. 69-74
Author(s):  
N.V. Yanko ◽  
L.F. Kaskova ◽  
I.Yu. Vashchenko ◽  
S.Ch. Novikova ◽  
O.S. Pavlenkova
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Infectious Mononucleosis ◽  
Viral Infections ◽  
Clinical Manifestations ◽  
Aphthous Stomatitis ◽  
Viral Diseases ◽  
Oral Manifestations ◽  
Immunodeficiency Virus ◽  
Herpetic Gingivostomatitis

Viral diseases with oral manifestations are common in the practice of pedodontist, however, sometimes their diagnosis is complicated due to the similar clinical manifestations. A huge number of viruses are present in oral cavity, especially from Herpesviridae family, however, the most of them are asymptomatic. Cold, systemic diseases and stress provoke the activation of viruses with different clinical manifestations. Therefore, a dentist can be the first who diagnoses not only herpetic gingivostomatitis, but also other viral diseases. The aim of the article was to analyse the oral manifestations of viral diseases in children in order to optimize their diagnostics. This article analyses clinical cases and reviews of diseases in English in Google database from 2011 to May 2020 (and earlier publications) by Keywords: «herpetic gingivostomatitis», «recurrent aphthous stomatitis», «oral manifestations of infectious mononucleosis», «herpetic angina», «oral manifestations of cytomegalovirus infection», «recurrent herpetic gingivostomatitis», «oral manifestations of varicella virus», «oral manifestations of herpes zoster», «roseola infantum», «herpangina», «hand, foot and mouth disease», «oral manifestations of measles», «rubella», «oral manifestations of papillomavirus», and «oral manifestations of human immunodeficiency virus». Viruses which have oral manifestations were characterized by transmission. Mostly airborne viruses are represented by Herpesviridae family. The differential diagnosis of primary herpetic gingivostomatitis includes recurrent aphthous stomatitis which forms ulcers on non-keratinised oral mucosa without a vesicle phase. Recurrent herpetic infection doesn’t have difficulties in diagnostics, but could be complicated by erythema multiform with clear target lesions. Vesicles, erosions in oral cavity associated with vesicles on hear part of head help to distinguish chickenpox from herpetic infection. Compared to Herpes simplex virus infection, Herpes zoster has a longer duration, a more severe prodromal phase, unilateral vesicles and ulceration, with abrupt ending at the midline and postherpetic neuralgia. Roseola is characterized by small papules on skin and palate which appears when severe fever in prodromal period subsides and disappears after 1-2 days. Oral vesicles associated with foot and hand rush differentiate enterovirus stomatitis from chickenpox and roseola. The distribution of the lesions of herpangina (palate, tonsils) differentiates it from primary herpetic gingivostomatitis, which affects the gingivae. Comparing with roseola and rubella, measles has a bigger size of rush and specific oral localization on buccal mucosa. Mild fever and skin rush which appears on face and extensor surfaces of body and extremities help to distinguish rubella from measles and roseola. Viruses transmitted through biological liquids are represented in oral cavity by infectious mononucleosis and cytomegalovirus. The vesicles and ulcers on the tonsils and posterior pharynx in case of these infections can resemble herpetic stomatitis, but liver and spleen enlargement allows to exclude this diagnose; also cytomegalovirus erosions heal for long time. Cervical lymphoadenopathy differentiates them from herpetic angina. Laboratory diagnostics is based on detection of antibodies to virus or virus DNA in blood helps to make diagnosis of infectious mononucleosis and cytomegalovirus infections. Viruses transmitted through direct contact with mucosa and biological liquids represented by human papillomavirus (HPV) and human immunodeficiency virus (HIV). HPV in oral cavity represent by benign epithelial hyperplasia which might persist and transform to malignant. Therefore, histological examination plays important role in diagnostics of HPV. Oral manifestations such as candidiasis, herpes labialis, and aphthous stomatitis represent some of the first signs of HIV immunodeficiency. Oral lesions also associated with HIV in children are oral hairy leukoplakia, linear gingival erythema, necrotizing ulcerative gingivitis, and Kaposi’s sarcoma. Rapid necrotization and long-term healing of oral lesions help to suspect HIV and prescribe the blood test for the detection of antibodies to the virus. Oral mucosa is often the first to be affected by viral infections. A thorough anamnesis and examination is the key to accurate diagnostics of the most oral viral lesions and their adequate treatment. Biopsy, examination of antibodies to the virus in the blood or polymeraze-chain reaction to the virus in the bioptate or blood are performed in case of diagnostic difficulties. Laboratory methods had to use more widely for the diagnostics of recurrent or unclear lesions of the oral mucosa in children.

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