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Gawre SR, Sonar PR, Reche A, Tiwari AV, Arya A, Singh A. Median Rhomboid Glossitis: A Case Study. Cureus 2024; 16:e61182. [PMID: 38933609 PMCID: PMC11200321 DOI: 10.7759/cureus.61182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2024] [Accepted: 05/27/2024] [Indexed: 06/28/2024] Open
Abstract
A smooth, red, oval, or rhomboid patch on the dorsal midline is the classic presentation of median rhomboid glossitis (MRG), a rare and benign lesion of the tongue. MRG is still not fully understood, which presents diagnostic hurdles and calls for additional clinical investigation. It is frequently associated with candidal infections. We describe a case of a 42-year-old man who initially appeared to have either mechanical irritation or thermal injury related to a painless patch on the dorsum surface of the tongue. We document a case of MRG that was consulted for a standard dental examination in this case report. This article also highlights a dentist's need to identify the lesion and provide appropriate education for the patient.
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Affiliation(s)
- Sanika R Gawre
- Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND
| | - Prasanna R Sonar
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND
| | - Amit Reche
- Public Health Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND
| | - Aakanksha V Tiwari
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND
| | - Ashtha Arya
- Conservative Dentistry and Endodontics, Shree Guru Gobind Singh Tricentenary Dental College, Hospital and Research Institute, Gurugram, IND
| | - Ayushi Singh
- Orthodontics, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, IND
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2
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Esquivel-Pedraza L, Cicero-Casarrubias A, Fernández-Cuevas L, Chávez-Ramírez M, Milke-García MP, Domínguez-Cherit J, Méndez-Flores S, Guerrero-Manzo VL. Clinical atrophy patterns of filiform papillae of the tongue and their relationship with the serum levels of iron, vitamin B12 and folic acid in patients with systemic diseases. Int J Dermatol 2023. [PMID: 37038250 DOI: 10.1111/ijd.16669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 01/28/2023] [Accepted: 03/14/2023] [Indexed: 04/12/2023]
Abstract
BACKGROUND The purpose of the study was to evaluate the clinical patterns of atrophy of the filiform papillae (FP) of the tongue and their relationship with the serum levels of iron and vitamin B12 among patients with systemic diseases, in a tertiary care center. METHODS A cross-sectional, analytical, research study was designed. A systematic tongue examination was performed to evaluate the presence and clinical patterns of FP atrophy. We collected epidemiologic, clinical, and laboratory data. Statistical analysis included χ2 test, Fisher's exact test, Kruskal-Wallis test, and a logistic regression analysis. RESULTS A total of 87 patients (83.9% females) were included [median age = 55 (range 20-89) years]. Endocrinopathy (60.9%) was the most frequent comorbidity. We found atrophy of the FP in 90.8% of the patients; the atrophy was mild in 83.5% of the cases, and severe in 16.5%. The most common atrophic patterns were as follows: focalized in 64 (73.6%) cases, "U"-shaped pattern in 60 (69%), and generalized in 30 (34.5%). Geographic tongue and median rhomboid glossitis were observed in 12 (13.8%) and 11 (12.6%) subjects, respectively. Lower titers of serum iron were detected in cases with focal (median = 71 vs. 110 mcg/dl) and generalized (median = 55 vs. 78 mcg/dl) FP atrophy (P = 0.03 and P = 0.009, respectively), than their counterparts. The presence of symptomatology was related to the focal pattern of atrophy (P = 0.038). CONCLUSIONS A high frequency of filiform papillary atrophy of the tongue was observed in patients with comorbidities. Some atrophic patterns of the tongue were significantly associated with certain medical conditions.
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Affiliation(s)
- Lilly Esquivel-Pedraza
- Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
- Research & Educational Doctoral Program, Universidad Centro Panamericano de Estudios Superiores, Zitácuaro, Michoacán, Mexico
| | - Alba Cicero-Casarrubias
- Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Laura Fernández-Cuevas
- Oral Pathology Department, Centro Dermatológico "Dr. Ladislao de la Pascua", Mexico City, Mexico
| | - Margarita Chávez-Ramírez
- Nutrition Division, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - María P Milke-García
- Nutrition Division, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Judith Domínguez-Cherit
- Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Silvia Méndez-Flores
- Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Víctor L Guerrero-Manzo
- Research & Educational Doctoral Program, Universidad Centro Panamericano de Estudios Superiores, Zitácuaro, Michoacán, Mexico
- Centro de Actualización del Magisterio en Michoacán, Morelia, Michoacán, Mexico
- Hospital Regional ISSSTE, Morelia, Michoacán, Mexico
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3
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Srivastava D, Yadav A, Naqvi S, Awasthi H, Fatima Z. Efficacy of Flavonoids in Combating Fluconazole Resistant Oral Candidiasis. Curr Pharm Des 2022; 28:1703-1713. [PMID: 35331090 DOI: 10.2174/1381612828666220324140257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 01/21/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND Candida is an opportunistic fungus often present in the oral mucosa. In the compromised immune system, it may become pathogenic and cause oral candidiasis. This infection is more common with Candida albicans; though, non-albicans Candida spp also have significant relevance. Current treatment guidelines include polyenes, azoles and echinocandins, where fluconazole is the primary therapeutic option. However, both inherited and acquired resistance to fluconazole is exhaustively reported. The development of resistance has resulted in the worsening of the original and re-emergence of new fungal diseases. Thus, the development of an anti-candidiasis therapy with a satisfactory outcome is the urgent need of the hour. OBJECTIVE This review article aims to stimulate the research in establishing the synergistic efficacy of various flavonoids with fluconazole to combat the resistance and develop an effective pharmacotherapy for the treatment of oral candidiasis. Further, in this article, we discuss in detail the mechanisms of action of fluconazole, along with the molecular basis of development of resistance in Candida species. METHOD PubMed and other databases were used for literature search. RESULTS The designing of natural drugs from the plant- derived phytochemicals are the promising alternates in modern medicine. The challenge today is the development of alternative anti- oral candidiasis drugs with increased efficacy, bioavailability and better outcome which can combat azole resistance. Identifying the flavonoids with potential antifungal action at low concentrations seems to meet the challenges. CONCLUSION Phyto-active constituents, either alone or in combination with conventional antibiotics may be an effective approach to deal with global antimicrobial resistance. The efficacy of herbal therapy for decades suggests that bacteria, fungi, and viruses may have a reduced ability to adapt and resistance to these natural antimicrobial regimes.
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Affiliation(s)
- Dipti Srivastava
- Amity Institute of Pharmacy, Lucknow, Amity University Uttar Pradesh, Sector 125,Noida,201313,India
| | - Aarti Yadav
- Amity Institute of Pharmacy, Lucknow, Amity University Uttar Pradesh, Sector 125,Noida,201313,India
| | - Salma Naqvi
- Department of Biomedical Sciences, College of Medicine, Gulf Medical University, Ajman, UAE
| | - Himani Awasthi
- Amity Institute of Pharmacy, Lucknow, Amity University Uttar Pradesh, Sector 125, Noida, 201313, India
| | - Zeeshan Fatima
- Amity Institute of Pharmacy, Lucknow, Amity University Uttar Pradesh, Sector 125, Noida,201313, India
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Monshi B, Grabovac S, Gulz L, Ellersdorfer C, Vujic M, Richter L, Kivaranovic D, Rappersberger K, Vujic I. Psoriasis ist mit Lingua plicata jedoch nicht mit Lingua geographica assoziiert: eine prospektive Fall‐Kontroll‐Studie. J Dtsch Dermatol Ges 2021; 19:1170-1177. [PMID: 34390146 DOI: 10.1111/ddg.14451_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 01/28/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Babak Monshi
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Sofia Grabovac
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Lilli Gulz
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Christina Ellersdorfer
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Marin Vujic
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Leo Richter
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich
| | - Danijel Kivaranovic
- Institut für Statistik und Operations Research, Universität Wien, Österreich
| | - Klemens Rappersberger
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich.,Fakultät für Medizin, Sigmund Freud-Privatuniversität Wien, Österreich
| | - Igor Vujic
- Abteilung Dermatologie, Venerologie und Allergologie, Lehrkrankenhaus der Medizinischen Universität Wien, Österreich.,Fakultät für Medizin, Sigmund Freud-Privatuniversität Wien, Österreich
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5
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Monshi B, Grabovac S, Gulz L, Ellersdorfer C, Vujic M, Richter L, Kivaranovic D, Rappersberger K, Vujic I. Psoriasis is associated with fissured tongue but not geographic tongue: a prospective, cross-sectional, case-control study. J Dtsch Dermatol Ges 2021; 19:1170-1176. [PMID: 34114338 DOI: 10.1111/ddg.14451] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 01/28/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVES It has been postulated that psoriasis is associated with tongue lesions and geographic tongue might be "oral psoriasis". However, reports are inconclusive, prevalence rates vary and data for Europe are sparse. In this prospective case-control study we investigated the point-prevalence of tongue conditions in an Austrian cohort. PATIENTS AND METHODS Psoriasis patients and healthy volunteers were assessed regarding tongue and skin lesions, age, sex, smoking habits, allergies, onset of psoriasis, PASI scores and anti-psoriatic treatment. RESULTS We included 173 psoriasis patients, 58 women, 115 men (median age: 50 [37-60] years), and 173 volunteers, 79 women, 94 men (median age: 54 [43-64] years). Overall, 95 subjects had allergies, 64 psoriasis patients and 50 volunteers were smokers. Median age at onset of psoriasis was 26 (12-40) years, the median PASI score was 2 (0-4.1), most patients received ustekinumab (n = 47). Fissured tongue was significantly associated with psoriasis (25 [14.4 %] psoriasis patients, 13 [7.5 %] volunteers; P = 0.04). Geographic tongue was present in four individuals of each group (2.3%) and associated with smoking (P = 0.01) but not with psoriasis. CONCLUSIONS Overall, we found a low point-prevalence of tongue lesions in this Austrian cohort. Psoriasis was associated with fissured tongue but not with geographic tongue. Thus, we cannot corroborate the hypothesis that geographic tongue is an oral manifestation of psoriasis.
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Affiliation(s)
- Babak Monshi
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Sofia Grabovac
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Lilli Gulz
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Christina Ellersdorfer
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Marin Vujic
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Leo Richter
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria
| | - Danijel Kivaranovic
- Department of Statistics and Operations Research, University of Vienna, Vienna, Austria
| | - Klemens Rappersberger
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria.,Sigmund Freud University Vienna, School of Medicine, Vienna, Austria
| | - Igor Vujic
- Department of Dermatology, Venereology and Allergology, Teaching Hospital of the Medical University Vienna, Vienna, Austria.,Sigmund Freud University Vienna, School of Medicine, Vienna, Austria
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6
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Kumar Jha A, Vinay K, Sławińska M, Sonthalia S, Sobjanek M, Kamińska-Winciorek G, Errichetti E, Kamat D, Chatterjee D, Apalla Z, Zalaudek I, Goldust M, Lallas A. Application of mucous membrane dermoscopy (mucoscopy) in diagnostics of benign oral lesions - literature review and preliminary observations from International Dermoscopy Society study. Dermatol Ther 2020; 34:e14478. [PMID: 33128323 DOI: 10.1111/dth.14478] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 10/16/2020] [Accepted: 10/26/2020] [Indexed: 02/06/2023]
Abstract
Dermoscopy of mucosal surface termed "mucoscopy" is an upcoming offshoot of dermatological imaging. However, the literature on mucoscopy is limited to individual cases and small case series. An organized review or systematic analysis of mucoscopy is lacking. The aim of this review was to summarize the published literature on mucoscopic features of benign conditions affecting the oral mucosa and semi-mucosa. Additionally, the results of mucoscopic features of diseases, which have not been described before have been presented.
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Affiliation(s)
- Abhijeet Kumar Jha
- Department of Skin and VD, Patna Medical College and Hospital, Patna, India
| | - Keshavamurthy Vinay
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Martyna Sławińska
- Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Gdańsk, Poland
| | - Sidharth Sonthalia
- Department of Skinnocence, Skin Clinic & Research Center, Gurugram, Gurugram, Haryana, India
| | - Michał Sobjanek
- Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Gdańsk, Poland
| | - Grazyna Kamińska-Winciorek
- The Department of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska- Curie National Research Institute of Oncology (MSCNRIO), Gliwice, Poland
| | - Enzo Errichetti
- Institute of Dermatology, Santa Maria della Misericordia University Hospital, Udine, Italy
| | - Divya Kamat
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Debajyoti Chatterjee
- Department of Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Zoe Apalla
- Second Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | - Iris Zalaudek
- Department of Dermatology, University of Trieste, Trieste, Italy
| | - Mohamad Goldust
- University Hospital Basel, Basel, Switzerland, University Medical Center Mainz, Mainz, Germany
| | - Aimilios Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
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7
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Alaoui F, Souissi A, Jendoubi F, Mokni M. Caviar tongue: A lingual physiological variation. Presse Med 2018; 47:925-926. [PMID: 30217364 DOI: 10.1016/j.lpm.2018.06.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 06/14/2018] [Indexed: 11/28/2022] Open
Affiliation(s)
- Fatima Alaoui
- Hôpital La Rabta, université Tunis-El-Manar, faculté de médecine de Tunis, service de dermatologie, Tunis, Tunisie
| | - Asmahane Souissi
- Hôpital La Rabta, université Tunis-El-Manar, faculté de médecine de Tunis, service de dermatologie, Tunis, Tunisie.
| | - Fatma Jendoubi
- Hôpital La Rabta, université Tunis-El-Manar, faculté de médecine de Tunis, service de dermatologie, Tunis, Tunisie
| | - Mourad Mokni
- Hôpital La Rabta, université Tunis-El-Manar, faculté de médecine de Tunis, service de dermatologie, Tunis, Tunisie
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8
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Digestive system in psoriasis: an update. Arch Dermatol Res 2017; 309:679-693. [PMID: 28905102 PMCID: PMC5648743 DOI: 10.1007/s00403-017-1775-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Revised: 08/21/2017] [Accepted: 08/25/2017] [Indexed: 02/06/2023]
Abstract
Psoriasis is a chronic inflammatory immune-mediated disorder associated and often coexisting with many other immune-related clinical conditions including those affecting the gastrointestinal tract. Data obtained from the reviewed literature suggest an association between psoriasis and pathologies of the oral cavity, both psoriasis-specific lesions, as well as non-specific, such as geographic tongue or fissured tongue. These findings show the importance of thorough examination of oral mucosa in psoriatic patients. Inflammatory bowel diseases (IBD) are also linked with psoriasis. Crohn’s disease and ulcerative colitis share a common genetic background, inflammatory pathways and have an evident iatrogenic anti-TNF treatment link, necessitating dermatological or gastroenterological care in patients with IBD or psoriasis, respectively, as well as treatment adjusted to manifestations. The presence of celiac disease-specific antibodies in psoriatic patients and their correlation with the severity of the disease show the association between these disorders. The linking pathogenesis comprises vitamin D deficiency, immune pathway, genetic background and increase in the intestinal permeability, which suggests a potential benefit from gluten-free diet among psoriatic patients. The link between psoriasis and non-alcoholic fatty liver disease implies screening patients for components of metabolic syndrome and lifestyle changes necessity. Some studies indicate increased prevalence of cancer in patients with psoriasis, probably due to negative influence of skin lesion impact on lifestyle rather than the role of psoriasis in carcinogenesis. However, there are no sufficient data to exclude such an oncogenic hit, which is yet to be confirmed. Therefore, all psoriasis-associated comorbidities establish the importance of a multidisciplinary approach in the treatment of these patients.
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Erriu M, Pili FMG, Cadoni S, Garau V. Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review. Open Dent J 2016; 10:619-635. [PMID: 27990187 PMCID: PMC5123136 DOI: 10.2174/1874210601610010619] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Revised: 10/09/2016] [Accepted: 10/15/2016] [Indexed: 12/16/2022] Open
Abstract
Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect. Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental. Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis.
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Affiliation(s)
- M Erriu
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - F M G Pili
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - S Cadoni
- Digestive Endoscopy Unit, S. Barbara Hospital, Iglesias (CA), Italy
| | - V Garau
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
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11
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Vigarios E, de Bataille C, Boulanger M, Fricain JC, Sibaud V. [Normal variations in lingual soft tissue]. Ann Dermatol Venereol 2015. [PMID: 26195280 DOI: 10.1016/j.annder.2015.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- E Vigarios
- Médecine bucco-dentaire, consultation pluridisciplinaire de pathologies de la muqueuse buccale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France; UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France.
| | - C de Bataille
- UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France; Médecine bucco-dentaire, hôpital Rangueil, CHU de Toulouse, 3, rue des Maraîchers, 31059 Toulouse cedex 9, France
| | - M Boulanger
- UFR d'odontologie, 3, rue des Maraîchers, 31062 Toulouse, France; Chirurgie orale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - J-C Fricain
- Chirurgie orale, consultation pluridisciplinaire de pathologies de la muqueuse buccale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France; UFR d'odontologie, 16-20, cours de la Marne, 33082 Bordeaux cedex, France
| | - V Sibaud
- Dermatologie, consultation pluridisciplinaire de pathologies de la muqueuse buccale, institut Claudius-Regaud, institut universitaire du cancer de Toulouse Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
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Abstract
This article provides an overview of common color changes and soft tissue oral nodular abnormalities in children and adolescents. The clinical presentation and treatment options to address these conditions are presented in a concise approach, highlighting key features relevant to the oral health care professional.
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Affiliation(s)
- Andres Pinto
- Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, University Hospitals Case Medical Center and Case Western Reserve School of Dental Medicine, 2124 Cornell Road, Rm 1190, Cleveland, OH 44106, USA.
| | - Christel M Haberland
- Yale Hamden Dental Center, Yale School of Medicine, Yale-New Haven Hospital, 2560 Dixwell Avenue, Hamden, CT 06514, USA
| | - Suher Baker
- Pediatric Dentistry Residency Program, Department of Dentistry, Yale School of Medicine, Yale-New Haven Hospital, 1 Long Whart Drive, Suite 403, New Haven, CT 06511, USA
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13
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Nalamliang N, Tangnantachai N, Thongprasom K. Medications in Thai Patients with Oral Lichen Planus, Oral Lichenoid Drug Reaction and Glossitis. ACTA ACUST UNITED AC 2014. [DOI: 10.5005/jp-journals-10029-1075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
ABSTRACT
Introduction
Medications have been widely used in the dental patients for the treatment of their systemic diseases. In fact, those drugs have some side-effects to many organs and also the oral cavity. The aim of our study was to investigate the relationship between medications and oral lichen planus (OLP), oral lichenoid drug reaction (OLDR) and glossitis (GT) in Thai patients.
Materials and methods
One hundred and thirty-eight cases of Thai patients were included in this study. Medical records of all cases with oral lesions and symptoms referred to the oral medicine clinic during 2007 to 2010 were extracted. Oral lichen planus group consisted of 88 cases, GT 26 cases and OLDR 24 cases. All data were analyzed using SPSS for Windows version 11.5.
Results
In our study, 75.5% of patients used more than one medication while single drug used was 24.5%. Antihypertensive drugs were the most commonly used in all groups. Antihypertensive and hypolipidemic drugs were equally taken 22.4% in OLP patients. Patients with OLDR taking antihypertensive in 54.2% followed by hypolipidemic (37.5%), NSAIDs (25%), hypoglycemic/antiplatelet (16.7%) each and others 25%. Patients in GT group were also used antihypertensive drugs 35%, NSAIDs 25%, hypolipidemic 20% respectively.
Conclusion
Most of patients with oral lesions took more than one medication. Antihypertensive drugs were the most commonly used in Thai patients with oral lesions.
How to cite this article
Nalamliang N, Tangnantachai N, Thongprasom K. Medications in Thai Patients with Oral Lichen Planus, Oral Lichenoid Drug Reaction and Glossitis. Int J Experiment Dent Sci 2014;3(2):73-76.
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Bhattacharyya I, Kramer JM. Clinical pathologic conference case 5: Unusual severe glossitis. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115:e46-9. [PMID: 23738346 DOI: 10.1016/j.oooo.2013.01.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Suliman NM, Astrøm AN, Ali RW, Salman H, Johannessen AC. Oral mucosal lesions in skin diseased patients attending a dermatologic clinic: a cross-sectional study in Sudan. BMC Oral Health 2011; 11:24. [PMID: 21929814 PMCID: PMC3187735 DOI: 10.1186/1472-6831-11-24] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2010] [Accepted: 09/19/2011] [Indexed: 12/02/2022] Open
Abstract
Background So far there have been no studies focusing on the prevalence of a wide spectrum of oral mucosal lesions (OML) in patients with dermatologic diseases. This is noteworthy as skin lesions are strongly associated with oral lesions and could easily be neglected by dentists. This study aimed to estimate the frequency and socio-behavioural correlates of OML in skin diseased patients attending outpatient's facility of Khartoum Teaching Hospital - Dermatology Clinic, Sudan. Methods A cross-sectional hospital-based study was conducted in Khartoum from October 2008 to January 2009. A total of 588 patients (mean age 37.2 ± 16 years, 50.3% females) completed an oral examination and a personal interview of which 544 patients (mean age 37.1 ± 15.9 years, 50% females) with confirmed skin disease diagnosis were included for further analyses. OML were recorded using the World Health Organization criteria (WHO). Biopsy and smear were used as adjuvant techniques for confirmation. Data were analysed using the Statistical Package for Social Science (Version 15.0.1). Cross tabulation and Chi-square with Fisher's exact test were used. Results A total of 438 OML were registered in 315 (57.9%, males: 54.6% versus females: 45.6%, p < 0.05) skin diseased patients. Thus, a certain number of patients had more than one type of OML. Tongue lesions were the most frequently diagnosed OML (23.3%), followed in descending order by white lesions (19.1%), red and blue lesions (11%) and vesiculobullous diseases (6%). OML in various skin diseases were; vesiculobullous reaction pattern (72.2%), lichenoid reaction pattern (60.5%), infectious lesions (56.5%), psoriasiform reaction pattern (56.7%), and spongiotic reaction pattern (46.8%). Presence of OML in skin diseased patients was most frequent in older age groups (62.4% older versus 52.7% younger, p < 0.05), in males (63.2% males versus 52.6% females, p < 0.05), patients with a systemic disease (65.2% with systemic versus 51.9% without systemic disease, p < 0.05) and among current users of smokeless tobacco (toombak) (77% current use versus 54.8% no use, p < 0.00). Conclusions OML were frequently diagnosed in skin diseased patients and varied systematically with age, gender, systemic condition and use of toombak. The high prevalence of OML emphasizes the importance of routine examination of oral mucosa in a dermatology clinic.
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Affiliation(s)
- Nada M Suliman
- Section for pathology, The Gade Institute, University of Bergen, Bergen, Norway
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McCreary C, Ní Ríordáin R. Oral medicine and the elderly. ACTA ACUST UNITED AC 2011; 38:30-2, 34-6. [PMID: 21366153 DOI: 10.12968/denu.2011.38.1.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
UNLABELLED A focus often exists in dental practice on the maintenance and management of the dentition and the periodontium, however, conditions of the oral mucosa and orofacial pain can cause significant problems for older patients. Oral mucosal conditions are more prevalent in older patients and many orofacial pain disorders, such as burning mouth syndrome and trigeminal neuralgia, are more common in patients over the age of 50 years. Although these conditions may not be routinely managed in general practice, identification of these patients in primary care and appropriate referral will lead to more prompt and effective treatment. CLINICAL RELEVANCE Dental practitioners need to be able to identify what is considered to be within the normal physiological limits of the ageing oral tissue and hence what is abnormal and requires further investigation to facilitate appropriate referral.
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Binmadi NO, Jham BC, Meiller TF, Scheper MA. A case of a deeply fissured tongue. ACTA ACUST UNITED AC 2010; 109:659-63. [PMID: 20416535 DOI: 10.1016/j.tripleo.2010.01.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2009] [Revised: 01/26/2010] [Accepted: 01/26/2010] [Indexed: 01/15/2023]
Affiliation(s)
- Nada O Binmadi
- Department of Oncology and Diagnostic Sciences, Dental School, University of Maryland, Baltimore, Baltimore MD, USA.
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Mirowski GW, Goddard A. Herpetic geometric glossitis in an immunocompetent patient with pneumonia. J Am Acad Dermatol 2009; 61:139-42. [PMID: 19539852 DOI: 10.1016/j.jaad.2008.11.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2008] [Revised: 10/29/2008] [Accepted: 11/06/2008] [Indexed: 11/27/2022]
Abstract
Herpetic geometric glossitis is an uncommon, clinically distinctive presentation of oral herpes simplex virus infection that affects the tongue. All published reports have been in patients who are immunocompromised. We present an immunocompetent woman with viral pneumonia who developed painful linear fissures on the back of the tongue suggestive of herpetic geometric glossitis. The diagnosis was confirmed by both biopsy specimen and immunohistochemistry. As in other cases, the patient promptly responded to treatment with antiviral therapy. The morphology, laboratory findings, and similarities to herpetic corneal dendrites are discussed. Herpetic geometric glossitis should no longer be considered as a diagnosis only in immunosuppressed individuals, but in immunocompetent persons as well.
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Affiliation(s)
- Ginat W Mirowski
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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Lynde CB, Bruce AJ, Murray JA, Rogers RS. Letter to the Editor. J Cutan Med Surg 2009; 13:53-4. [DOI: 10.2310/7750.2008.07086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
| | | | | | - Roy S. Rogers
- Division of Laboratory Dermatology, Mayo Clinic, Rochester, MN
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Yanagisawa K, Takagi I, Sakurai K. Influence of tongue pressure and width on tongue indentation formation. J Oral Rehabil 2007; 34:827-34. [PMID: 17919249 DOI: 10.1111/j.1365-2842.2007.01734.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The purpose of this study was to clarify which physiological and anatomical factors were involved in the formation of tongue indentations, which are believed to be a clinical sign of clenching. Twenty-four dentulous subjects were investigated. They were divided into two groups, depending on the presence or absence of tongue indentations: (i) a tongue indentation group and (ii) a no tongue indentation group. Intraoral appliances containing a small pressure sensor were placed at the lingual surfaces of the upper and lower right first molars. Lingual pressure on the lingual surfaces of the upper and lower right first molars was then recorded under different conditions. The tasks selected as physiological factors to be recorded were: (i) silent reading at rest for 10 min, (ii) maximum voluntary clenching (MVC) for 5 s, (iii) 10% of MVC for 1 min and (iv) swallowing. The results for all tasks were compared between groups. Tongue width and dental arch width were also measured as anatomical factors. No significant differences were found between groups during silent reading at rest, clenching, swallowing, or in tongue pressure integration during silent reading at rest. However, a significant difference was found in terms of tongue width (P < 0.05). These results indicate that neither volume of lingual pressure exerted on the lingual surface of the teeth during rest, clenching, nor swallowing are related to the formation of tongue indentations. The results do suggest; however, that tongue width at rest plays an important role in the formation of tongue indentations.
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Affiliation(s)
- K Yanagisawa
- Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College, Chiba City, Japan.
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Abstract
A group of 23 patients with partial atrophic change of the tongue was examined for candidiasis. All of them reported pain in the tongue on eating hot or spicy food. The intensity of the tongue pain was evaluated before and after treatment using a visual analogue scale. Of the 23 patients, 10 (43.5%) had predisposing factors for candidiasis such as diabetes mellitus and anaemia. In the culture examination, candidal species were isolated in 65.2%, all Candida albicans. Direct cytological examination performed in 10 of the 23 patients revealed fungal pseudohyphae in 8 patients. After antifungal treatment, tongue pain had disappeared or improved markedly in 82.6%. Simultaneously, the filiform papilla of the atrophic site was observed to have begun to regenerate in these patients. Candida infection should be suspected in patients with partial atrophic tongue associated with pain on eating.
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Affiliation(s)
- H Terai
- Department of Oral Surgery, Osaka Medical College, Osaka, Japan.
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Lehman JS, Bruce AJ, Rogers RS. Atrophic Glossitis From Vitamin B12Deficiency: A Case Misdiagnosed as Burning Mouth Disorder. J Periodontol 2006; 77:2090-2. [PMID: 17209796 DOI: 10.1902/jop.2006.060169] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Glossodynia, or painful sensation of the tongue, can have a spectrum of etiologies, such as local infection, trauma, nerve damage, glossitis, or the enigmatic neuropathic pain syndrome, burning mouth disorder (BMD; also known as burning mouth syndrome). Careful history-taking, physical examination, and appropriate laboratory screening can differentiate these causes of glossodynia and direct further therapy. METHODS A 73-year-old woman presented with several months of glossodynia having previously been diagnosed by her primary care physician with primary BMD. Subsequently, she consulted an otolaryngologist, who pursued further diagnostic evaluation. RESULTS Examination revealed the presence of a beefy, red, smooth tongue, and further laboratory evaluation yielded a low serum vitamin B(12) level and macrocytosis. Three months of oral vitamin B(12) supplementation led to partial restoration of serum vitamin B(12) levels and a modest improvement in symptoms. Her final diagnoses were atrophic glossitis and glossodynia secondary to vitamin B(12) deficiency, most likely due to pernicious anemia. CONCLUSIONS The results of this case have important clinical implications for the diagnostic evaluation and management of patients with glossodynia and apparent BMD. Pathogenic mechanisms of nutrient deficiency in atrophic glossitis are discussed.
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Affiliation(s)
- Julia S Lehman
- University of Wisconsin Medical School, Madison, WI, USA
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Zargari O. The prevalence and significance of fissured tongue and geographical tongue in psoriatic patients. Clin Exp Dermatol 2006; 31:192-5. [PMID: 16487088 DOI: 10.1111/j.1365-2230.2005.02028.x] [Citation(s) in RCA: 75] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Tongue lesions are not uncommon in psoriasis, but their significance is not clear. Aims. To determine the prevalence of tongue lesions in patients with psoriasis and to detect possible associations. METHODS All consecutive patients with psoriasis seen in a dermatology clinic in northern Iran between January 2000 and January 2005 were enrolled in a prospective study. A questionnaire detailing the clinical and epidemiological features of the disease was completed for each patient, and all patients were examined for tongue lesions. RESULTS In total, 306 patients with psoriasis were enrolled in the study (170 women, 136 men; female : male ratio 1.25 : 1; mean age 29.7 years; mean age at onset of psoriasis 23.3 years). Overall, 47 patients (15.4%) had tongue lesions; 25 (8.2%) had fissured tongue, 17 (5.6%) had geographical tongue (benign migratory glossitis) and 5 (1.6%) patients had both fissured and geographical tongue. Geographical tongue was seen in 7.2% of patients with early onset psoriasis and only in 1.3% of patients with late-onset psoriasis. Overall, patients with tongue lesions were found to have more nail and genital involvement. CONCLUSION It appears that geographical tongue, but not fissured tongue, is more common in early onset psoriasis and may be an indicator of disease severity.
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Affiliation(s)
- O Zargari
- Dermatology Clinic, Booali Medical Group, Rasht, Iran.
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