OBJECTIVE: The goal of this study was to evaluate the prevalence and type of psychiatric disorders coexisting with burning mouth syndrome (BMS), to compare the clinical features of patients with BMS alone with patients with multiple diagnoses, and to investigate the number and severity of life events that occur before the onset of BMS. METHOD: There were 102 patients with BMS, with no possible local or systemic causes, who were evaluated according to the diagnostic criteria of DSM-IV. All axis I diagnoses for which the patients met criteria at intake or lifetime were determined. Life events were evaluated for a period of 6 months before the onset of BMS. A statistical comparison between patients and a matched control group was performed first; moreover, patients with BMS alone were compared with patients with comorbid BMS. RESULTS: Although 29 (28.4%) BMS patients were not given any other lifetime psychiatric diagnosis, high rates of comorbid psychiatric diagnoses were found. The most prevalent concurrent diagnoses were depressive disorders and generalized anxiety disorder. No significant differences emerged in clinical features between patients with and without other current psychiatric disorders. The severity of life events, rather than in their number, was significantly associated with BMS. CONCLUSIONS: BMS has high psychiatric comorbidity but can occur in the absence of psychiatric diagnoses.

Aged↗

PubMedDate not supplied

[Oral lupus erythematosus. Description and analysis of 11 cases].

BACKGROUND: The aim of this study is to evaluate all the cases of lupus erythematosus with oral involvement coming to the Department of Oral Medicine in the last 15 years (1984-1998). METHODS: The files of the Oral Medicine Department of the University of Turin have been reviewed to search oral manifestations of lupus erythematosus according to international accepted diagnostic criteria. RESULTS: A total of eleven patients 7 women (64%) and 4 men (36%) with a mean age of 46 years were included. Three patients (27%) had discoid lupus erythematosus (LED) whereas 8 (73%) had systemic lupus erythematosus (LES). In four patients the diagnosis of lupus was made after oral diagnosis, whereas 7 patients (64%) had a previous diagnosis of lupus. Clinical aspect was typical in 8 cases (73%) while one patient had leukoplakia-like white patches and two patients (18%) had lichen-like oral lesion. CONCLUSIONS: This study suggest that primitive oral lesion of lupus are quite rare but frequently may have atypical features often difficult to differentiate from lichen planus.

Adult↗

PubMedDate not supplied

[Cryotherapy, polychemotherapy and radiotherapy in the treatment of oral carcinoma. Preliminary note].

Following a short introduction to outline the therapeutic approach to primary carcinoma of the oral cavity, technical modalities, and the techniques of using this new type of cryo-polychemo-radiotherapeutic association are reviewed. The extremely interesting and flattering results obtained in 30 cases of patients suffering from this form of cancer must, however, be considered fairly modest if allowance is made for the time limits (insignificant). Results will be reviewed when a longer period has gone by.

Adult↗