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Sugawara C, Takahashi A. Orofacial symptoms suggestive of malignant lesions and the role of imaging: literature review and case presentation. Oral Radiol 2023; 39:599-613. [PMID: 37490186 DOI: 10.1007/s11282-023-00701-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 06/09/2023] [Indexed: 07/26/2023]
Abstract
Among the patients seeking dental treatment, some may present with symptoms that cannot be resolved by dental treatment alone. Patients with orofacial symptoms associated with malignant diseases, which require medical treatment, often visit dental clinics for their initial consultation. Delays in making a definitive diagnosis worsen the patient's prognosis. Therefore, dental clinicians should also be aware of the signs and symptoms associated with malignant diseases. The chief complaints of these patients include numb chin syndrome (NCS), painless swelling of the palate and neck, trismus and temporomandibular disorders, and an enlarged tongue. This article aimed to review these orofacial symptoms and related diseases and describe representative cases of these diseases to obtain a definitive diagnosis via imaging. Panoramic radiograph is widely used in general dentistry, and this article reaffirmed the importance of panoramic radiograph anatomical landmarks in diagnosing the cases presented in this paper.
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Affiliation(s)
- Chieko Sugawara
- Department of Dentistry, Oral and Maxillofacial Surgery, Tokushima Prefectural Hospital, 1-10-3, Kuramoto-cho, Tokusihma-shi, Tokushima, 770-8539, Japan.
| | - Akira Takahashi
- Department of Oral and Maxillofacial Surgery, Tokushima University, Tokushima, Japan
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2
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[Atypical tongue]. Rev Med Interne 2023; 44:94-95. [PMID: 36759077 DOI: 10.1016/j.revmed.2022.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 07/12/2022] [Indexed: 02/09/2023]
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3
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Allegra A, Tonacci A, Musolino C, Pioggia G, Gangemi S. Secondary Immunodeficiency in Hematological Malignancies: Focus on Multiple Myeloma and Chronic Lymphocytic Leukemia. Front Immunol 2021; 12:738915. [PMID: 34759921 PMCID: PMC8573331 DOI: 10.3389/fimmu.2021.738915] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 09/29/2021] [Indexed: 12/19/2022] Open
Abstract
Secondary immunodeficiency is reported in most patients with hematological malignancies such as chronic lymphocytic leukemia and multiple myeloma. The aim of our review was to evaluate the existing literature data on patients with hematological malignancies, with regard to the effect of immunodeficiency on the outcome, the clinical and therapeutic approach, and on the onset of noninfectious complications, including thrombosis, pleural effusion, and orofacial complications. Immunodeficiency in these patients has an intense impact on their risk of infection, in turn increasing morbidity and mortality even years after treatment completion. However, these patients with increased risk of severe infectious diseases could be treated with adequate vaccination coverage, but the vaccines' administration can be associated with a decreased immune response and an augmented risk of adverse reactions. Probably, immunogenicity of the inactivated is analogous to that of healthy subjects at the moment of vaccination, but it undertakes a gradual weakening over time. However, the dispensation of live attenuated viral vaccines is controversial because of the risk of the activation of vaccine viruses. A particular immunization schedule should be employed according to the clinical and immunological condition of each of these patients to guarantee a constant immune response without any risks to the patients' health.
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MESH Headings
- Animals
- Humans
- Immunocompromised Host
- Immunogenicity, Vaccine
- Immunologic Deficiency Syndromes/epidemiology
- Immunologic Deficiency Syndromes/immunology
- Immunologic Deficiency Syndromes/therapy
- Incidence
- Leukemia, Lymphocytic, Chronic, B-Cell/epidemiology
- Leukemia, Lymphocytic, Chronic, B-Cell/immunology
- Leukemia, Lymphocytic, Chronic, B-Cell/therapy
- Multiple Myeloma/epidemiology
- Multiple Myeloma/immunology
- Multiple Myeloma/therapy
- Opportunistic Infections/epidemiology
- Opportunistic Infections/immunology
- Opportunistic Infections/prevention & control
- Risk Factors
- Vaccination
- Vaccine Efficacy
- Vaccines/administration & dosage
- Vaccines/adverse effects
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Affiliation(s)
- Alessandro Allegra
- Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina, Messina, Italy
| | - Alessandro Tonacci
- Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), Pisa, Italy
| | - Caterina Musolino
- Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina, Messina, Italy
| | - Giovanni Pioggia
- Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy (CNR), Messina, Italy
| | - Sebastiano Gangemi
- School of Allergy and Clinical Immunology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
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Dissanayaka DWVN, Bandara HMMR, Sabesan T, Mohomed YS, Siriwardena BSMS. Case report: Oral manifestations of systemic amyloidosis, an aid to diagnosis of multiple myeloma - report of two cases. Braz J Otorhinolaryngol 2020; 88:146-149. [PMID: 33408060 PMCID: PMC9422644 DOI: 10.1016/j.bjorl.2020.11.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 11/11/2020] [Accepted: 11/17/2020] [Indexed: 11/16/2022] Open
Affiliation(s)
- D W V N Dissanayaka
- Department of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka
| | | | | | | | - B S M S Siriwardena
- Department of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
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Beaumont S, Koo RM, Harrison SJ. A Wolf in Sheep's clothing: A case report series of oral manifestations of multiple myeloma. Aust Dent J 2020; 66:324-331. [PMID: 33217006 DOI: 10.1111/adj.12808] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Multiple myeloma is the most common haematological malignancy accounting for 10 % of all haematological cancers. Treatment of myeloma has evolved in recent years leading to improved survival. Lesions related to myeloma are frequently observed within the oral cavity and jawbone. In addition, many of the therapeutic agents have side effects with implications for provision of dental treatment. This case series aims to highlight some of these presentations to remind dental practitioners to be vigilant. Observation of suspicious lesions within the oral cavity or jawbone might warrant further investigation.
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Affiliation(s)
- Sophie Beaumont
- Dental Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.,Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia
| | - Ray Mun Koo
- Clinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Simon J Harrison
- Clinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, Victoria, Australia.,Sir Peter MacCallum Department of Oncology, Melbourne University, Melbourne, Victoria, Australia
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Hoffman JE, Dempsey NG, Sanchorawala V. Systemic Amyloidosis Caused by Monoclonal Immunoglobulins: Soft Tissue and Vascular Involvement. Hematol Oncol Clin North Am 2020; 34:1099-1113. [PMID: 33099427 DOI: 10.1016/j.hoc.2020.08.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Clinical features of soft tissue amyloid light-chain (AL) amyloidosis include macroglossia, arthropathy, muscle pseudohypertrophy, skin plaques, and carpal tunnel syndrome. Vascular manifestations of AL amyloid include periorbital ecchymosis, jaw or limb claudication, and even myocardial infarction caused by occlusion of small vessel coronary arteries. Some of these features, such as macroglossia, periorbital ecchymosis, and the so-called shoulder-pad sign, are pathognomonic for AL amyloidosis. These findings may be the initial presenting features of the disease, and the recognition of these red flag symptoms is very important for the diagnosis and early intervention on the underlying plasma cell disease.
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Affiliation(s)
- James E Hoffman
- Department of Medicine, Division of Hematology, University of Miami/Sylvester Comprehensive Cancer Center, 1475 Northwest 12th Avenue, Miami, FL 33136, USA
| | - Naomi G Dempsey
- Department of Medicine, Division of Hematology, University of Miami/Sylvester Comprehensive Cancer Center, 1475 Northwest 12th Avenue, Miami, FL 33136, USA
| | - Vaishali Sanchorawala
- Boston University School of Medicine and Boston Medical Center, 72 East Concord Street, K-503, Boston, MA 02118, USA.
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Abed H, Burke M, Nizarali N. Oral and dental management for people with multiple myeloma: clinical guidance for dental care providers. ACTA ACUST UNITED AC 2018. [DOI: 10.12968/denu.2018.45.5.383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Hassan Abed
- Special Care Dentist, Department of Sedation and Special Care Dentistry, Floor 26, Tower Wing, Guy'S Hospital, London Bridge, SE1 9RT, UK
| | - Mary Burke
- Consultant in Sedation and Special Care Dentistry, Department of Sedation and Special Care Dentistry, Floor 26, Tower Wing, Guy's Hospital, London Bridge, SE1 9RT, UK
| | - Najla Nizarali
- Consultant in Sedation and Special Care Dentistry, Department of Sedation and Special Care Dentistry, Floor 26, Tower Wing, Guy's Hospital, London Bridge, SE1 9RT, UK
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Almeida TMXD, Cavalcanti ÉFF, Freitas ADS, Magalhães RJPD, Maiolino A, Torres SR. Can dentists detect multiple myeloma through oral manifestations? Rev Bras Hematol Hemoter 2017. [PMID: 29519372 PMCID: PMC6003103 DOI: 10.1016/j.bjhh.2017.08.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Objective To review published data on oral manifestations of multiple myeloma. Methods An electronic database search was performed of articles published from 1971 to November 2016 in order to identify studies that reported oral manifestations of patients with multiple myeloma. Case reports and case series with oral manifestations of multiple myeloma in English were included in the study. An additional search was performed of the references of the selected articles. Results Thirty-seven articles that reported 81 patients with oral manifestations of multiple myeloma were selected: 30 case reports (82%) and seven case series (18%). The most common clinical features in the dental cavity were swelling (65.4%), bone pain (33.3%), paresthesia (27.1%) and amyloidosis lesions (11.1%). Osteolytic lesions detected on imaging exams were reported in the majority of the patients (90.1%) as plasmacytomas or ‘punched-out’ lesions. Conclusions Swelling and osteolytic lesions represent the most common clinical and radiographic signs of the jaws relating to multiple myeloma, respectively.
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Affiliation(s)
| | | | | | | | - Angelo Maiolino
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
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9
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The surgical management of severe macroglossia in systemic AL amyloidosis. Br J Oral Maxillofac Surg 2013; 51:e72-4. [DOI: 10.1016/j.bjoms.2012.04.258] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Accepted: 04/18/2012] [Indexed: 11/20/2022]
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10
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Pau M, Reinbacher K, Feichtinger M, Kärcher H. Surgical treatment of macroglossia caused by systemic primary amyloidosis. Int J Oral Maxillofac Surg 2013; 42:294-7. [DOI: 10.1016/j.ijom.2012.05.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Revised: 03/15/2012] [Accepted: 05/14/2012] [Indexed: 11/26/2022]
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11
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Islam NM, Bhattacharyya I, Cohen DM. Common Oral Manifestations of Systemic Disease. Otolaryngol Clin North Am 2011; 44:161-82, vi. [DOI: 10.1016/j.otc.2010.09.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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12
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Wei CH, Chuang WY, Tang CC, Hui RCY. Multiple flesh-colored papules on the waist and multiple purpuric nodules on the tongue. DERMATOL SIN 2010. [DOI: 10.1016/s1027-8117(10)60020-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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13
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Elad S, Czerninski R, Fischman S, Keshet N, Drucker S, Davidovich T, Goldschmidt N. Exceptional oral manifestations of amyloid light chain protein (AL) systemic amyloidosis. Amyloid 2010; 17:27-31. [PMID: 20146645 DOI: 10.3109/13506121003619351] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Oral amyloidosis is usually presented in the tongue and is often associated with multiple myeloma. We present three patients with unusual oral manifestations of primary amyloidosis, which to the best of our knowledge have not been previously published. In two cases the oral manifestation was overt at the time of diagnosis and all cases ended in patient mortality. Since these oral manifestations can contribute to the diagnosis of systemic amyloidosis, clinicians should be made aware of them. Future research should assess the significance of oral manifestation as a prognostic indicator.
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Affiliation(s)
- Sharon Elad
- Department of Oral Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
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14
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Guijarro-Martínez R, Miragall Alba L, Villar Puchades R, Marqués Mateo M, Puche Torres M, Iglesias Gimilio ME, Pérez-Herrezuelo Hermosa G, Pascual Gil JV. Rational Management of Macroglossia Due to Acquired Systemic Amyloidosis: Does Surgery Play a Role? J Oral Maxillofac Surg 2009; 67:2013-7. [DOI: 10.1016/j.joms.2009.04.036] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2008] [Revised: 02/15/2009] [Accepted: 04/19/2009] [Indexed: 10/20/2022]
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15
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Prokaeva T, Spencer B, Kaut M, Ozonoff A, Doros G, Connors LH, Skinner M, Seldin DC. Soft tissue, joint, and bone manifestations of AL amyloidosis: clinical presentation, molecular features, and survival. ACTA ACUST UNITED AC 2007; 56:3858-68. [PMID: 17968927 DOI: 10.1002/art.22959] [Citation(s) in RCA: 108] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To characterize symptoms and signs of AL amyloidosis that may bring patients to the attention of rheumatologists, evaluate Ig V(L) gene usage in this subgroup of patients, and assess the impact of soft tissue and bone involvement and V(L) gene usage on survival. METHODS Clinical features of soft tissue and bone involvement were assessed in 191 patients with AL amyloidosis. V(L) gene sequencing was carried out to determine light-chain family, rate of somatic mutation, and evidence of antigen selection. The association of soft tissue and bone involvement with V(L) gene usage was assessed by logistic regression analysis, and survival time was analyzed using log rank tests and Cox regression models. RESULTS Soft tissue and bone involvement occurred in 42.9% of the patients, and 9.4% had dominant soft tissue and bone involvement. The most common manifestations were submandibular gland enlargement, macroglossia, and carpal tunnel syndrome. Dominant soft tissue and bone involvement was significantly associated with V(L)kappaI gene usage. Mutation rate and evidence of antigen selection in the V(L) genes were not found to be confounding factors, providing evidence against a contribution of autoimmunity in this type of AL amyloidosis. Survival time was initially longer in patients with dominant soft tissue and bone involvement than in patients with other dominant organ involvement; however, this difference diminished over time. CONCLUSION Amyloid infiltration into soft tissue, joints, periarticular structures, and bones can bring patients with AL amyloidosis to the attention of rheumatologists. Recognition of the presenting symptoms is essential for accurate diagnosis and appropriate treatment, since the long-term outlook for untreated patients with dominant soft tissue and bone involvement is not better than that for patients with other dominant features of AL amyloidosis.
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Affiliation(s)
- Tatiana Prokaeva
- Boston University School of Medicine, Boston, Massachusetts 02118-2526, USA.
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16
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Lee KH, Lee JS, Cho YK, Kim SY, Yoo JY, Park CJ. Multiple Myeloma‐associated Light Chain Amyloidosis Presenting as Verrucous Lingual Masses. Acta Derm Venereol 2005; 85:447-8. [PMID: 16159741 DOI: 10.1080/00015550510033183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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17
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Xavier SD, Filho IB, Müller H. Macroglossia Secondary to Systemic Amyloidosis: Case Report and Literature Review. EAR, NOSE & THROAT JOURNAL 2005. [DOI: 10.1177/014556130508400615] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Amyloidosis is characterized by an abnormal extracellular deposition of amyloid in different tissues and organs, where it usually causes some type of dysfunction. Its cause is unknown. The two main forms of amyloidosis are systemic and localized; the latter is rare. No satisfactory treatment for systemic amyloidosis has been discovered, and mean survival is poor, ranging from 5 to 15 months depending on the presence or absence of multiple myeloma. We report a case of primary systemic amyloidosis in a 71-year-old man. The diagnosis of amyloidosis was established by tongue biopsy, and its systemic nature was identified by analysis of aspirated abdominal fat. At the 1-year follow-up, the patient's clinical condition had not changed, and he was thereafter lost to follow-up.
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Affiliation(s)
- Sandra Doria Xavier
- Department of Otorhinolaryngology, Santa Casa of São Paulo College of Medicine, São Paulo, Brazil
| | - Ivo Bussoloti Filho
- Department of Otorhinolaryngology, Santa Casa of São Paulo College of Medicine, São Paulo, Brazil
| | - Helena Müller
- Department of Pathology, Santa Casa of São Paulo College of Medicine, São Paulo, Brazil
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Fortson JK, Nuriddin A, McCarter F, Henderson VJ, Patel V. Multiple Myeloma in a Patient with Hoarseness, Dysphagia, Aspiration, and Cervical Lymphadenopathy. EAR, NOSE & THROAT JOURNAL 2004. [DOI: 10.1177/014556130408300418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Multiple myeloma, which primarily affects the elderly, is rare in the head and neck. We report the case of a 71-year-old man who came to us with hoarseness, dysphagia, intermittent aspiration, and cervical lymphadenopathy. Our work-up included laboratory tests, radiographic examinations, analysis of bone marrow aspiration, and histopathologic evaluations. Cervical lymph node biopsy confirmed a diagnosis of multiple myeloma. Despite treatment with chemotherapy and radiation, the patient died of his disease 6 months later.
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Affiliation(s)
- James K. Fortson
- From the Department of Surgery, Morehouse School of Medicine, Atlanta
| | - Ahmad Nuriddin
- From the Department of Surgery, Morehouse School of Medicine, Atlanta
| | - Freda McCarter
- From the Department of Surgery, Morehouse School of Medicine, Atlanta
| | | | - Vijaykumar Patel
- From the Department of Surgery, Morehouse School of Medicine, Atlanta
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19
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Abstract
A case of oral involvement of amyloid associated (AA) amyloidosis (secondary systemic amyloidosis) in a patient who is suffering from psoriatic arthritis and ankylosing spondylitis, is described. The patient was complaining of pain in the oral cavity (burning mouth), especially on the tongue, and difficulty in chewing and swallowing foods. Oral examination revealed a few papules on the dorsum of the tongue associated with xerostomia. In addition, two slightly painful, small ulcers, localized on the vestibule of the mouth were observed. Biopsy of the tongue demonstrated amyloid deposits.
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Affiliation(s)
- A Koloktronis
- Department of Oral Medicine/Pathology, Dental School of Aristotle University of Thessaloniki, Thessaloniki, Greece.
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20
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Ueno T, Kagawa T, Kanou M, Ishida N, Fujii T, Fukunaga J, Mizukawa N, Sugahara T. Pathology of the temporomandibular joint of patients with rheumatoid arthritis--case reports of secondary amyloidosis and macrophage populations. J Craniomaxillofac Surg 2003; 31:252-6. [PMID: 12914711 DOI: 10.1016/s1010-5182(03)00031-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION The pathogenetic features of rheumatoid arthritis of the temporomandibular joint (TMJ) are not well defined. In this paper the histological features of TMJs affected by rheumatoid arthritis, and the detection of secondary amyloidosis and macrophage populations in the TMJs of two patients with progressive rheumatoid arthritis are described. METHODS In two patients (64-year-old man and 61-year-old woman) with rheumatoid arthritis total TMJ replacement were performed. The surgical specimens were studied histologically. RESULTS It was found that the articular cartilage had been completely replaced by proliferating fibrous tissue. Congo red staining and polarizing microscopy revealed amyloid deposition in the connective tissue of the joint space. Immunohistochemical staining showed CD 68 positive macrophages around the amyloid deposition in the proliferating soft tissue. CONCLUSION TMJ involvement in rheumatoid arthritis followed the same destructive pathway as in other joints. Amyloid deposition and macrophage populations were detected in two TMJs affected by rheumatoid arthritis.
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Affiliation(s)
- Takaaki Ueno
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University, Graduate School of Medicine and Dentistry, Shikata, Okayama, Japan.
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21
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Steciuk A, Dompmartin A, Troussard X, Verneuil L, Macro M, Comoz F, Leroy D. Cutaneous amyloidosis and possible association with systemic amyloidosis. Int J Dermatol 2002; 41:127-32; discussion 133-4. [PMID: 12010335 DOI: 10.1046/j.1365-4362.2002.01411.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Anne Steciuk
- Department of Dermatology, Center Hospitalier Universitaire Caen, Avenue Georges Clemenceau, 14033 Caen Cedex, France
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22
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Abstract
A 70-year-old woman presented with a painful, red tongue with papules associated with xerostomia and systemic symptoms including weight loss, difficulty in swallowing and breathing, haemochezia and leg swelling. Biopsy from the tongue demonstrated amyloid deposits and, on further investigation, kappa chain disease was diagnosed. Primary systemic amyloidosis was diagnosed and the patient died within weeks of presentation.
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Affiliation(s)
- P Y Basak
- Department of Dermatology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
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23
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Affiliation(s)
- B K Joseph
- Department of Oral Pathology and Oral Medicine, Faculty of Dentistry, Kuwait University, 13110, Safat, Kuwait
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24
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Mardinger O, Rotenberg L, Chaushu G, Taicher S. Surgical management of macroglossia due to primary amyloidosis. Int J Oral Maxillofac Surg 1999. [DOI: 10.1016/s0901-5027(99)80204-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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25
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Katsambas AD. Genetic Diseases of Oral Mucosa. Oral Dis 1999. [DOI: 10.1007/978-3-642-59821-0_6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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26
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An ultrastructural study of nodular amyloidosis of the tongue. Med Mol Morphol 1997. [DOI: 10.1007/bf01545088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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27
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Finsterer J, Wogritsch C, Pokieser P, Vesely M, Ulrich W, Grisold W, Mamoli B. Light chain myeloma with oro-pharyngeal amyloidosis presenting as bulbar paralysis. J Neurol Sci 1997; 147:205-8. [PMID: 9106130 DOI: 10.1016/s0022-510x(96)05326-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
A 53-year old woman developed slowly progressive dysarthria, mild enlargement of the tongue and dysphagia since 1 year ago. All neurological differential diagnoses that could have explained the bulbar symptoms were excluded. The swallowing sequence was pathologic and immunoglobulins were markedly reduced. A bone marrow biopsy revealed light chain myeloma grade III. Amyloid deposits were found in the tongue but not in the kidneys. Oro-pharyngeal amyloidosis was held responsible for the described complaints. It is concluded that multiple myeloma must be considered in the differential diagnosis of bulbar paralysis and that biopsy of specific lesions is necessary to confirm local amyloidosis.
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Affiliation(s)
- J Finsterer
- Department, Neurological Hospital Rosenhügel, Vienna, Austria
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28
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Jordan RC, Speight PM. Extranodal non-Hodgkin's lymphomas of the oral cavity. CURRENT TOPICS IN PATHOLOGY. ERGEBNISSE DER PATHOLOGIE 1996; 90:125-46. [PMID: 8791750 DOI: 10.1007/978-3-642-80169-3_4] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- R C Jordan
- Department of Dentistry, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
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