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Sharma A, Hayes K, Roberts MB, Georgolios A. A Case of Traumatic Ulcerative Granuloma With Stromal Eosinophilia in a 55-Year-Old Woman. EAR, NOSE & THROAT JOURNAL 2023:1455613231215172. [PMID: 38093512 DOI: 10.1177/01455613231215172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023] Open
Affiliation(s)
- Aayush Sharma
- Chicago Medical School, Rosalind Franklin University, North Chicago, IL, USA
| | - Kelsey Hayes
- Arkansas College of Osteopathic Medicine, Fort Smith, AR, USA
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Carr PE, Linklater DR. A 7-Month-Old with a Tongue Lesion. J Pediatr 2022; 244:241-242. [PMID: 34971653 DOI: 10.1016/j.jpeds.2021.12.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 12/23/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Peter E Carr
- Department of Emergency Medicine, Carl R. Darnall Army Medical Center, Fort Hood, Texas
| | - Derek R Linklater
- Assistant Professor of Military and Emergency Medicine, F. Edward Hebert School of Medicine, Bethesda, Maryland
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Lee JJ, Sarangam M, Feldman KW, Tieder JS. Riga-Fede Disease: A Case of Sublingual Trauma Not Associated With Abuse. Pediatr Emerg Care 2021; 37:e1735-e1737. [PMID: 31714447 DOI: 10.1097/pec.0000000000001922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The following case presents a pediatric patient with Riga-Fede disease (RFD), a rare disorder in children under 2 years of age characterized by sublingual ulceration of the tongue due to trauma from repeated rubbing against the primary teeth. Riga-Fede disease is well reported in dental literature but is relatively unknown to the general pediatric community. It can be confused with nonaccidental trauma (NAT) from forced feeding or other abusive trauma because it presents with injury of oral structures including the sublingual frenulum and often results in problems with growth. This case highlights the importance for physicians to recognize RFD as a source of isolated oral injury that is distinct from NAT. Although approximately 35 cases of RFD have been reported in the literature, this is the first case to describe the process of distinguishing this disease from child abuse. METHODS We present a case of an 8-month-old female infant who presented with extensive injury of her ventral tongue from RFD who underwent a full workup for NAT. We review the literature for guidance on diagnosing RFD and discuss how to distinguish it from abuse. RESULTS Infants with characteristic ulceration of the ventral tongue opposing new teeth and with no other medical, social, or developmental concerns do not need to undergo further workup. Clinical examination and thorough history are sufficient to make the diagnosis. CONCLUSIONS Traumatic intraoral injury in nonmobile children is highly concerning for child abuse. However, RFD is a well described cause of sublingual ulceration in infants that is not associated with abuse.
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Affiliation(s)
- Jonathan J Lee
- From the Department of Pediatrics, Division of Hospital Medicine
| | - Maithri Sarangam
- From the Department of Pediatrics, Division of Hospital Medicine
| | - Kenneth W Feldman
- Children's Protection Program, Seattle Children's Hospital, University of Washington, Seattle, WA
| | - Joel S Tieder
- From the Department of Pediatrics, Division of Hospital Medicine
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Riga Fede Disease with Glutaric Aciduria Type 1. Indian J Pediatr 2020; 87:484-485. [PMID: 31811503 DOI: 10.1007/s12098-019-03125-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 11/07/2019] [Indexed: 10/25/2022]
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Setti G, Martella E, Mancini C, Vescovi P, Magnoni C, Bellini P, Giovannacci I, Meleti M. Self-healing CD30- T-clonal proliferation of the tongue: report of an extremely rare case. BMC Oral Health 2019; 19:186. [PMID: 31416455 PMCID: PMC6694504 DOI: 10.1186/s12903-019-0875-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 08/02/2019] [Indexed: 11/10/2022] Open
Abstract
Background The etiology of traumatic ulcerative granulomas with stromal eosinophilia (TUGSE) is not clear, traumatic irritation having advocated as the most likely cause. TUGSEs are typically self-limiting slow-healing lesions of the oral mucosa with unclear pathogenesis, commonly manifesting as a rapidly developing, long-lasting ulcer. Case presentation Here we report a controversial case of a self-healing lesion of the tongue in a 57 year-old woman. A clonal T-cell proliferation and CD30 negative immunohistochemical (IHC) profile could be documented. Discussion and conclusion In view of the very peculiar clinical and histological features, a retrospective diagnosis of a TUGSE with scarce eosinophilic infiltrate (possibly in regression), displaying CD30- T-clonal proliferation was eventually rendered. The patient did not report signs of recurrence after a 3-year follow-up period.
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Affiliation(s)
- Giacomo Setti
- Dipartimento di Medicina e Chirurgia, Reparto di Patologia e Chirurgia Orale Laser, Centro Universitario di Odontoiatria, Università di Parma, via Gramsci 14, 43126, Parma, Italy.
| | - Eugenia Martella
- Dipartimento Diagnostico, Unità Operativa Complessa di Anatomia e Istologia Patologica, Azienda Ospedaliero Universitaria di Parma, via Gramsci, 14, 43126, Parma, Italy
| | - Cristina Mancini
- Dipartimento Diagnostico, Unità Operativa Complessa di Anatomia e Istologia Patologica, Azienda Ospedaliero Universitaria di Parma, via Gramsci, 14, 43126, Parma, Italy
| | - Paolo Vescovi
- Dipartimento di Medicina e Chirurgia, Reparto di Patologia e Chirurgia Orale Laser, Centro Universitario di Odontoiatria, Università di Parma, via Gramsci 14, 43126, Parma, Italy
| | - Cristina Magnoni
- Dipartimento Chi.Mo.Mo., Struttura Complessa di Dermatologia, Università di Modena e Reggio Emilia, Largo del Pozzo 71, 41125, Modena, Italy
| | - Pierantonio Bellini
- Dipartimento Chi.Mo.Mo., Struttura Complessa di Odontoiatria e Chirurgia Oro-maxillofacciale, Università di Modena e Reggio Emilia, Largo del Pozzo 71, 41125, Modena, Italy
| | - Ilaria Giovannacci
- Dipartimento Chi.Mo.Mo., Struttura Complessa di Dermatologia, Università di Modena e Reggio Emilia, Largo del Pozzo 71, 41125, Modena, Italy
| | - Marco Meleti
- Dipartimento di Medicina e Chirurgia, Reparto di Patologia e Chirurgia Orale Laser, Centro Universitario di Odontoiatria, Università di Parma, via Gramsci 14, 43126, Parma, Italy
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Silva Díaz E, Estébanez Corrales A, Miralles Palmero A, Martín Hernández JM. Enfermedad de Riga-Fede. An Pediatr (Barc) 2018; 89:389-390. [DOI: 10.1016/j.anpedi.2018.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 02/15/2018] [Accepted: 02/16/2018] [Indexed: 10/17/2022] Open
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Jamani NA, Ardini YD, Harun NA. Neonatal tooth with Riga-Fide disease affecting breastfeeding: a case report. Int Breastfeed J 2018; 13:35. [PMID: 30065775 PMCID: PMC6062915 DOI: 10.1186/s13006-018-0176-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 07/17/2018] [Indexed: 11/10/2022] Open
Abstract
Background Neonatal teeth erupt during the neonatal period and natal teeth are the presence of teeth since birth. While rare, natal teeth and neonatal teeth can have a significant impact on breastfeeding. Neonatal teeth are less common, and although its exact etiology is still unknown, it can cause difficulties in breastfeeding to the mother and may eventually lead to discontinuation of breastfeeding. Other associated possible complications include tooth aspiration and sublingual ulceration. This paper was aimed to discuss the clinical features, complications, and management of neonatal tooth, in addition to its impact on breastfeeding and role in sublingual ulcer formation. Case presentation We present a baby girl who had a neonatal tooth with sublingual ulceration (Riga-Fede disease), which resulted in a difficulty to breastfeed for the baby and nipple pain to the mother. Following the extraction of the baby's tooth, she immediately continued breastfeeding, and her tongue ulcer healed well. Conclusion Extraction of the neonatal tooth promoted rapid healing of oral ulcers and the reestablishment of breastfeeding.
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Affiliation(s)
- Nurjasmine Aida Jamani
- 1Department of Family Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang Malaysia
| | - Yunita Dewi Ardini
- 2Department of Paediatric Dentistry and Dental Public Health, International Islamic University Malaysia, Kuantan, Pahang Malaysia
| | - Nor Asilah Harun
- 2Department of Paediatric Dentistry and Dental Public Health, International Islamic University Malaysia, Kuantan, Pahang Malaysia
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Patil S, Rao RS, Majumdar B, Jafer M, Maralingannavar M, Sukumaran A. Oral Lesions in Neonates. Int J Clin Pediatr Dent 2016; 9:131-8. [PMID: 27365934 PMCID: PMC4921882 DOI: 10.5005/jp-journals-10005-1349] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Accepted: 12/04/2015] [Indexed: 11/23/2022] Open
Abstract
Oral lesions in neonates represent a wide range of diseases often creating apprehension and anxiety among parents. Early examination and prompt diagnosis can aid in prudent management and serve as baseline against the future course of the disease. The present review aims to enlist and describe the diagnostic features of commonly encountered oral lesions in neonates. How to cite this article: Patil S, Rao RS, Majumdar B, Jafer M, Maralingannavar M, Sukumaran A. Oral Lesions in Neonates. Int J Clin Pediatr Dent 2016;9(2):131-138.
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Affiliation(s)
- Shankargouda Patil
- Associate Professor, Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Roopa S Rao
- Professor and Head, Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences Bengaluru, Karnataka, India
| | - Barnali Majumdar
- Postgraduate Student, Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences Bengaluru, Karnataka, India
| | - Mohammed Jafer
- Lecturer and Head, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Mahesh Maralingannavar
- Associate Professor, Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Anil Sukumaran
- Professor, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
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Sarangarajan R, Vaishnavi Vedam VK, Sivadas G, Sarangarajan A, Meera S. Traumatic ulcerative granuloma with stromal eosinophilia - Mystery of pathogenesis revisited. J Pharm Bioallied Sci 2015; 7:S420-3. [PMID: 26538890 PMCID: PMC4606632 DOI: 10.4103/0975-7406.163474] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Oral ulcers are a common symptom in clinical practice. Among various causative factors, different types of ulcers in oral cavity exist. Among this, traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) appears to be quite neglected by the clinicians due to the limited knowledge and awareness. On reviewing with a detailed approach to titles and abstracts of articles eliminating duplicates, 40 relevant articles were considered. Randomized studies, review articles, case reports and abstracts were included while conference papers and posters were excluded. Of importance, TUGSE cases been reported only to a minimal extent in the literature. Lack of its awareness tends to lead clinicians to a misconception of cancer. Thus, this particular lesion needs to be differentiated from other malignant lesions to provide a proper mode of treatment. The present article reviews various aspects of the TUGSE with emphasis on the clinical manifestation, pathogenesis, histological, and immunohistochemical study. This study provides the clinician contemporaries, a humble expansion to their knowledge of the disease, based on the searched literature, enabling a more comprehensive management of this rare occurrence.
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Affiliation(s)
- R Sarangarajan
- Department of Oral Pathology, Madha Dental College and Hospital, Kundrathur, India
| | - V K Vaishnavi Vedam
- Department of Oral Pathology, Faculty of Dentistry, Asian Institute of Medicine Science and Technology (AIMST) University, Malaysia
| | - G Sivadas
- Department of Pedodontics, Faculty of Dentistry, Asian Institute of Medicine Science and Technology (AIMST) University, Malaysia
| | - Anuradha Sarangarajan
- Private Dental Practitioner, Sai Raghav Dental Clinic, West Mambalam, Chennai, Tamil Nadu, India
| | - S Meera
- Private Dental Practitioner, Sree Sai Dental Care, Kolapakkam, Chennai, Tamil Nadu, India
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Riga-Fede Disease Associated with Natal Teeth: Two Different Approaches in the Same Case. Case Rep Dent 2015; 2015:234961. [PMID: 26421196 PMCID: PMC4569785 DOI: 10.1155/2015/234961] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 08/25/2015] [Accepted: 08/26/2015] [Indexed: 11/19/2022] Open
Abstract
Natal teeth are those present in the oral cavity at the child's birth. These teeth can cause ulcers on the ventral surface of the tongue, lip, and the mother's breast characterizing the Riga-Fede Disease. The treatment depends on the tooth's mobility and the risk of aspiration or swallowing; whether it is supernumerary or regular primary teeth; whether it is causing interference in breastfeeding; breast and oral soft tissue injuries; and the general state of child's health. A 1-month-old female infant was diagnosed with two natal teeth and an ulcerated lesion on the ventral surface of the tongue, leading to the clinical diagnosis of Riga-Fede Disease. The treatment performed consisted of the maintenance of the natal tooth that showed no increased mobility, adding a small increment of glass ionomer cement to its incisal edge, and orientation for hygiene with saline solution. Due to the increased mobility of the other natal tooth, surgical removal was performed. There was regular monitoring of the patient and complete wound healing was observed after 15 days. The proposed treatment was successful and the patient is still in follow-up without recurrence of the lesion after one year.
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Hong P. Riga-Fede Disease: Traumatic Lingual Ulceration in an Infant. J Pediatr 2015; 167:204. [PMID: 25868430 DOI: 10.1016/j.jpeds.2015.03.034] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Accepted: 03/17/2015] [Indexed: 11/25/2022]
Affiliation(s)
- Paul Hong
- IWK Health Centre, Halifax, Nova Scotia, Canada
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