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Nguyen CG, Wikner EE, Gallagher TQ, Birsch LA, Darrow DH. Diagnosis and Management of Riga-Fede Disease: A Case Series. Laryngoscope 2024. [PMID: 38837419 DOI: 10.1002/lary.31547] [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: 04/13/2024] [Accepted: 05/13/2024] [Indexed: 06/07/2024]
Abstract
In this case series, we present four unique cases of Riga-Fede disease (RFD), a rare disorder characterized by mucosal trauma as a result of repetitive tongue protrusion against the incisors, leading to the development of a large oral mass/ulceration. Due to the rapid development and growth of these lesions mimicking malignancy, it is important for the general and pediatric otolaryngologist to correctly diagnose and treat this benign disorder. This series highlights the variable clinical presentations, along with comorbidities of RFD, as well as the importance of interdisciplinary care between the pediatric otolaryngologist and pediatric dentist in its management. Laryngoscope, 2024.
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Affiliation(s)
| | - Emily E Wikner
- Eastern Virginia Medical School, Norfolk, Virginia, U.S.A
- Department of Otolaryngology-Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A
| | - Thomas Q Gallagher
- Department of Otolaryngology-Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A
- Division of Pediatric Otolaryngology, Children's Hospital of The King's Daughters, Norfolk, Virginia, U.S.A
| | - Laurie A Birsch
- Staff Pediatric Dentist, Children's Hospital of The King's Daughters, Norfolk, Virginia, U.S.A
| | - David H Darrow
- Department of Otolaryngology-Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, U.S.A
- Division of Pediatric Otolaryngology, Children's Hospital of The King's Daughters, Norfolk, Virginia, U.S.A
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2
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Dua K, Sultan A, Juneja A. Riga Fede disease associated with a neonatal tooth. INTERNATIONAL JOURNAL OF PEDODONTIC REHABILITATION 2022. [DOI: 10.56501/intjpedorehab.v7i2.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Riga Fede disease is defined as traumatic ulcerations on the ventral surface of the tongue in infants and neonates and most commonly occurs due to natal, neonatal teeth or erupting deciduous mandibular central incisors. The occurrence of natal or neonatal teeth is also a rare occurrence. This article represents a reported case of Riga Fede disease associated with a neonatal tooth in a 10 weeks old patient and its non-invasive management.
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3
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Extensive sublingual ulceration leads to tongue deformity in a child with delayed development. PEDIATRIC DENTAL JOURNAL 2019. [DOI: 10.1016/j.pdj.2019.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Polat Ekinci A, Kılıç S, Babuna Kobaner G. Early-onset and persistent traumatic granuloma of the tongue (Riga-Fede disease) associated with neonatal teeth and Down syndrome. J Eur Acad Dermatol Venereol 2018; 33:e131-e132. [PMID: 30422352 DOI: 10.1111/jdv.15336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A Polat Ekinci
- Department of Dermatology and Venereology, Istanbul Medical Faculty, Istanbul University, İstanbul Tıp Fakültesi Deri ve Zührevi Hastalıklar Anabilim Dalı Millet Caddesi 34093 Çapa-Fatih/İstanbul, Turkey
| | - S Kılıç
- Department of Dermatology and Venereology, Istanbul Medical Faculty, Istanbul University, İstanbul Tıp Fakültesi Deri ve Zührevi Hastalıklar Anabilim Dalı Millet Caddesi 34093 Çapa-Fatih/İstanbul, Turkey
| | - G Babuna Kobaner
- Department of Dermatology and Venereology, Istanbul Medical Faculty, Istanbul University, İstanbul Tıp Fakültesi Deri ve Zührevi Hastalıklar Anabilim Dalı Millet Caddesi 34093 Çapa-Fatih/İstanbul, Turkey
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5
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Çavuş Ş, Özmen B. Riga-Fede disease in the upper jaw in an infant. Dermatol Ther 2017; 30. [PMID: 28677222 DOI: 10.1111/dth.12517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2017] [Accepted: 05/30/2017] [Indexed: 11/27/2022]
Abstract
Riga-Fede disease is a benign and uncommon mucosal disorder. This illness is an ulceration of the oral mucosa and arises from repetitive traumatic injuries. The disease is usually caused by the sharp edges of new erupted teeth. The aim of the present case report is to present Riga-Fede disease and its treatment. We reported a 11-month-old healthy female infant diagnosed as Riga-Fede disease based on clinical features. After the conservative treatment that focused on eliminating the source of trauma, total healing was observed. Riga-Fede disease is rare. This illness can be confused with malignancies. Therefore, the diagnosis and treatment of this disease are very important for physicians and patients.
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Affiliation(s)
- Şule Çavuş
- Faculty of Dentistry, Department of Pediatric Dentistry, Ondokuz Mayis University, Samsun, Turkey
| | - Bilal Özmen
- Faculty of Dentistry, Department of Pediatric Dentistry, Ondokuz Mayis University, Samsun, Turkey
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Abstract
Riga-Fede disease is an uncommon, benign, ulcerative condition due to dental trauma that can occur at any age. A 9-year-old boy with a painful tongue is presented. Physicians need to recognize Riga-Fede disease and Riga-Fede-like disease to intervene early.
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Affiliation(s)
- Bilal Ozmen
- Department of Pediatric Dentistry, Center of Dental Science, Gulhane Military Medical Academy, Ankara, Turkey
| | - Ozge Acar
- Department of Pediatric Dentistry, Center of Dental Science, Gulhane Military Medical Academy, Ankara, Turkey
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Senanayake MP, Karunaratne I. Persistent lingual ulceration (Riga-Fede disease) in an infant with Down syndrome and natal teeth: a case report. J Med Case Rep 2014; 8:283. [PMID: 25149318 PMCID: PMC4150422 DOI: 10.1186/1752-1947-8-283] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2014] [Accepted: 07/03/2014] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Riga-Fede disease is a rare pediatric condition in which chronic lingual ulceration results from repetitive trauma. Neonatal teeth or underlying neuro-developmental disorders which include Down syndrome are described as causative factors, but to the best of our knowledge, this is the first case report of both Down syndrome and natal teeth coexisting. The need for early extraction in the presence of two risk factors is highlighted in this case report. CASE PRESENTATION An 18-month-old Sinhalese male presented with an ulcerating lingual mass on the ventral surface of the tongue. The lesion had progressed over the past six months. He also had clinically diagnosed Down syndrome.The ulcer was non-tender, indurated, and had elevated margins. It was not bleeding and two natal teeth in lower central dentition were seen in apposition with the lesion. There was no regional lymphadenopathy but the ulcer was causing concerns as it mimicked a malignant lesion. A clinical diagnosis of Riga-Fede disease caused by raking movements of the tongue against anterior natal teeth by a child who was developmentally delayed and prone to suck on his tongue was made. The mother was reassured and the natal teeth were extracted. CONCLUSIONS Early extraction of natal teeth is recommended only if there is a risk of aspiration or interference with breast feeding. Although Down syndrome is among the neuro-developmental conditions that lead to this lesion, its occurrence is usually at an older age. The presence of natal teeth together with Down syndrome caused the lesion to occur in infancy. Awareness of the benign nature of this rare condition by pediatricians and dental practitioners is important as it will allay anxiety and avoid unnecessary biopsy. This case also highlights the impact of two risk factors and needs consideration as an added indication for the early extraction of natal teeth.
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Affiliation(s)
- Manouri P Senanayake
- Department of Pediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 008, Sri Lanka.
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del Alcázar–Viladomiu E, Vicente–Villa M, González-Enseñat M. Úlcera lingual en un lactante de 7 meses. ACTAS DERMO-SIFILIOGRAFICAS 2013. [DOI: 10.1016/j.ad.2013.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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del Alcázar–Viladomiu E, Vicente–Villa M, González-Enseñat M. Tongue Ulcer in a 7-Month-Old Infant. ACTAS DERMO-SIFILIOGRAFICAS 2013; 104:631-2. [DOI: 10.1016/j.adengl.2013.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2012] [Accepted: 02/24/2013] [Indexed: 10/26/2022] Open
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Compilato D, Corsello G, Campisi G. An unusual traumatic ulceration of the tongue. J Paediatr Child Health 2012; 48:1104-5. [PMID: 23217045 DOI: 10.1111/jpc.12002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Domenico Compilato
- Department of Surgical and Oncological Disciplines, Unit of Oral Medicine; University of Palermo; Palermo Italy
| | - Giovanni Corsello
- Department of Mother and Child Health, Unit of Pediatric; University of Palermo; Palermo Italy
| | - Giuseppina Campisi
- Department of Surgical and Oncological Disciplines, Unit of Oral Medicine; University of Palermo; Palermo Italy
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11
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[Riga-Fede disease]. Ann Dermatol Venereol 2012; 139:546-9. [PMID: 22963964 DOI: 10.1016/j.annder.2012.05.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2010] [Revised: 03/12/2012] [Accepted: 05/02/2012] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Riga-Fede disease is a benign affection of the oral mucosa which has been poorly described in the literature. This entity of unknown ethiopathogenicity is sometimes revealing of dysautonomic or neuropsychic disorders. We report a new case. CASE REPORT A 10-month-old girl was referred to us for a unique deep ulceration of the lower lingual apex, in a context of right basal pneumopathy. Samples were negative for bacteriological, virological and mycological analysis. After successful treatment of the pneumopathy, the ulceration was unchanged and we diagnosed Riga-Fede disease. DISCUSSION Our observation is representative of the Riga-Fede cases previously described in the literature, comparing the age of onset, the topography and the ulceration type. We did not diagnose any dysautonomic or neuropsychic disorder as reported in some cases. Suppression of the lingual trauma resulted in healing of the ulceration.
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Abstract
Riga Fede disease is a reactive mucosal disease as a result of repetitive trauma of the tongue by the anterior primary teeth during forward and backward movement. Although the aspect of the lesion might be impressive, its nature is relatively benign. The history and clinical features are most often so typical that there is seldom a need for addititonal histopathological examination. Riga Fede disease can most often be treated with conservative measures only. Beside the presentation of a six-month-old boy with Riga Fede disease, the literature has been reviewed as well. From this review it can be concluded that Riga Fede disease is almost exclusively restricted to the tongue, occurs soon after birth when associated with (neo)natal teeth, has a male predilection, and is in one quarter of the cases associated with neurologic disorders. In the later case, Riga Fede disease develops after the age of 6 months.
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Saint-Jean M, Tessier MH, Barbarot S, Billet J, Stalder JF. [Oral disease in children]. Ann Dermatol Venereol 2010; 137:823-37. [PMID: 21134589 DOI: 10.1016/j.annder.2010.08.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2010] [Indexed: 02/08/2023]
Affiliation(s)
- M Saint-Jean
- Clinique Dermatologique, CHU Hôtel-Dieu, Place A.-Ricordeau, 44093 Nantes Cedex, France
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Eley KA, Watt-Smith PA, Watt-Smith SR. Deformity of the tongue in an infant: Riga-Fede disease. Paediatr Child Health 2010; 15:581-2. [PMID: 22043140 PMCID: PMC3009564 DOI: 10.1093/pch/15.9.581] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2009] [Indexed: 11/13/2022] Open
Abstract
Riga-Fede is the rare condition of benign ulceration caused by repetitive trauma to the lingual tissues by the teeth in children younger than two years of age. The differential diagnosis includes infective and neoplastic conditions. Histological diagnosis is required when the symptoms fail to resolve with standard management. The case involving an 11-month-old girl who presented with ulceration of the tongue, resulting in a reasonable defect of the tongue tip, is reported in the present article. Following excisional biopsy, the lesion healed without subsequent recurrence. Riga-Fede disease should be considered in infants presenting with oral ulceration. Extraction of the offending teeth should be considered when associated with failure to thrive or failed conservative management.
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Affiliation(s)
- Karen A Eley
- Department of Plastic Surgery, Oxford Radcliffe Hospitals NHS Trust, Oxford
| | - Pauline A Watt-Smith
- Department of Clinical Dentistry, Royal Lemington Spa Rehabilitation Hospital, Warwickshire
| | - Stephen R Watt-Smith
- Department of Oral & Maxillofacial Surgery, Oxford Radcliffe Hospitals NHS Trust, Oxford, United Kingdom
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Padmanabhan MY, Pandey RK, Aparna R, Radhakrishnan V. Neonatal sublingual traumatic ulceration - case report & review of the literature. Dent Traumatol 2010; 26:490-5. [DOI: 10.1111/j.1600-9657.2010.00926.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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