Letter: Vitamins and the elderly.
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Geriatrics↗
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Results for “GLOSSITIS”
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Lingual lesions of generalized pustular psoriasis. Report of five cases and a review of the literature.
Geographic tongue and fissured tongue may be mucosal manifestations of generalized pustular psoriasis. All three disorders have polygenic inheritance patterns and affected patients may share genes. Five patients in three families with geographic tongue, fissured tongue, and generalized pustular psoriasis are described and the lingual lesions of generalized pustular psoriasis are reviewed.
Adult↗
Oral cysticercosis. Review of the literature and report of 2 cases.
Oral cysticercosis is a rare condition in man. Our 2 cases bring the total number of published cases to 25. Although it is rare, the cysticercosis should be considered in the differential diagnosis of intra-oral nodules, especially in high incidence areas. Multiple foci are very common and every cases with oral cysticercosis should undergo thorough general examination. Surgical excision is the treatment of choice.
Adult↗
Dilemma in treatment of patients suffering from orofacial dysaesthesia.
A retrospective study of 64 patients with orofacial dysaesthesia is presented. Special emphasis is placed on the patients' symptoms and on the manipulative treatments they received before they were referred for psychiatric consultation. The patients had suffered from chronic orofacial pain or feelings of discomfort for periods ranging from 6 months up to 25 years. The patients had visited several specialists and had received numerous manipulative or medical treatments, the most common of which were repeated medication (drug treatment), TMJ dysfunction treatment, endodontic or exodontic treatment, and surgical explorations. However, the success of all these clinical efforts was very limited because of the apparent psychosomatic origin of the complaints. This study clearly shows that psychiatric consultations are still too seldom made in patients with chronic orofacial dysaesthesia, that many patients have a mental disorder, and that most chronic psychosomatic pain disorders are treated as acute specific pain.
Adult↗
Psychiatric disorders in orofacial dysaesthesia.
70 patients with orofacial dysaesthesia were clinically examined at the Department of Oral and Maxillofacial Surgery of the University of Helsinki. All the patients were referred for a psychiatric consultation. Later 16 refused to attend. 12 of the 54 patients (22.2%) who took part in the psychiatric interview were psychotic, 27 patients (50.0%) had a moderate mental disorder and 11 patients (20.4%) a mild psychiatric disorder. 4 of the patients had no psychic diagnosis (psychically healthy). The control group, which comprised 44 patients referred to the Department for surgical extraction of an impacted tooth, filled in the Cornell Medical Index questionnaire. 3 of the controls (6.8%) had a severe mental disturbance, 5 (11.4%) a moderate psychic disorder and 4 (9.1%) a mild psychiatric disorder, whereas 32 patients (72.7%) were mentally healthy. The results show that there is a psychic background in most patients with chronic orofacial pain who have no clinical findings corresponding to the sensation of somatic pain.
Adult↗
Geographic stomatitis and psoriasis.
5 new cases of geographic stomatitis are presented and added to a review of 32 similar cases reported in the literature up to 1987. Furthermore, a series of 70 consecutive patients with psoriasis were examined for oral mucosal lesions. Based upon the findings of the literature and the results of the present study, there seems insufficient proof to consider geographic stomatitis an oral manifestation of psoriasis.
Adolescent↗
Transient lingual papillitis: a papulokeratotic variant.
Transient lingual papillitis is an inflammatory disease involving the fungiform papillae of the tongue and is typically localized, accompanied by pain or tenderness, and of short duration. The unusual clinical and pathologic findings regarding a condition we identify as a recurring papulokeratotic variant of transient lingual papillitis are described. In the child whose case we present, this condition was nonpainful and florid in distribution. The etiology, clinical features, and histopathology of this heretofore-undescribed variant are discussed and compared with the findings in previously reported cases of transient lingual papillitis.
Child↗
Transient lingual papillitis.
We describe a relatively common yet poorly documented condition of the anterior dorsal tongue characterized by one or more moderately painful, transient, red to yellow papules. This study surveyed a number of people on their experiences with these lesions. Although some of the respondants had not had lesions of this sort, most were at least aware of their occurrence in other persons. A summary of respondents' experiences including symptoms and demographics is included. We suggest the term "transient lingual papillitis" to describe this process.
Adult↗
[Burning mouth syndrome--etiology, differentialdiagnostical aspects and therapy].
Burning Mouth Syndrome (BMS) or glossodynia is a chronic pain syndrome that mainly affects middle-aged/elderly women. This condition is probably of multifactorial origin, often idiopathic, and its etiopathogenesis remains largely enigmatic. Visible pathologic lesions of the oral mucosa or processes are usually not evident. Etiologic factors that have been reported include several disorders (e. g. hematologic disorders, denture factors, the climacteric, infections, endocrinological, neurological or psychiatric disorders). On the other hand psychological factors, such as anxiety, depression and phobias have been reported to play a significant role at the beginning of this nosological entity. BMS related to nutritional deficiency is uncommon. A systemic approach to assessment is essential and the opinion of other specialities, particularly internal medicine, dentistry or neurology, may be of help. Treatment is of the underlying cause but in many cases no specific aetiological factor is identified. Non-indicated substitution therapy of suspected but unproved deficiency states must be avoided. Treatment approaches were divided into topical and systemic strategies. However, there is little research evidence that provides clear guidance for those treating patients with BMS.
Burning Mouth Syndrome↗
Periodontal diseases in the child and adolescent.
BACKGROUND: Periodontal diseases are among the most frequent diseases affecting children and adolescents. These include gingivitis, localized or generalized aggressive periodontitis (a.k.a., early onset periodontitis which includes generalized or localized prepubertal periodontitis and juvenile periodontitis) and periodontal diseases associated with systemic disorders. The best approach to managing periodontal diseases is prevention, followed by early detection and treatment. METHODS: This paper reviews the current literature concerning the most common periodontal diseases affecting children: chronic gingivitis (or dental plaque-induced gingival diseases) and early onset periodontitis (or aggressive periodontitis), including prepubertal and juvenile periodontitis. In addition, systemic diseases that affect the periodontium and oral lesions commonly found in young children are addressed. The prevalence, diagnostic characteristics, microbiology, host-related factors, and therapeutic management of each of these disease entities are thoroughly discussed.
Adolescent↗
Oral manifestations in 45 HIV-positive children from Northern Thailand.
Forty-five Northern Thai children with HIV infection or AIDS were examined for oral manifestations. Of these children, 51.1% (n=23) were asymptomatic (category N), 48.9% were mildly, moderately or severely symptomatic (category A, B, C) and 48.9% (n=22) revealed oral lesions. Eleven patients (24.4%) showed one oral lesion, eight (17.8%) had two and three (6.6%) had three oral lesions. Erythematous candidiasis was the most common lesion (17.8%). Oral hairy leukoplakia was seen in 6.7% (n=3). Geographic tongue, not usually considered to be associated with HIV infection, was seen in 6.7% (n=3). Only 15 patients (33.3%) received antiretroviral therapy (ART). Comparison of patients with or without ART did not show differences in the prevalence of oral lesions. More studies in Thai HIV-infected children are needed to reveal the prevalence of oral manifestations, as well as for the predictive value of the most common or specific oral manifestations.
Candidiasis, Oral↗
Oral signs and symptoms in relation to disease activity and site of involvement in patients with inflammatory bowel disease.
OBJECTIVE: An assessment of oral symptoms and signs in patients with inflammatory bowel disease (IBD). METHODS: Fifty-four patients with IBD, 34 with Crohn's disease (CD) and 20 with ulcerative colitis (UC) participated in the study. Forty-two patients without gastrointestinal disease or complaints attending the orthopedic clinic served as controls. Each patient completed a written questionnaire and was subjected to an oral examination. RESULTS: The main findings of this study were the higher prevalence of halitosis (50% vs 10% P < 0.0008), nausea (30% vs 7%, P < 0.017) and reflux (regurgitation) (45% vs 17%, P < 0.017) in patients with UC, and nausea (50% vs 7%, P < 0.026), dry mouth and halitosis (29% vs 10%, P < 0.026) and vomiting (41% vs 5%, P = 0.01) in patients with CD, compared with controls. Patients with active CD had a higher prevalence of dry mouth, nausea and vomiting compared with controls (46, 69 and 54% vs 10, 7 and 5%, respectively, P < 0.001) and of reflux compared with non-active CD (46% vs 5%, P < 0.001). Patients with active UC had a higher prevalence of halitosis and regurgitation (50 and 60% vs 10 and 17%, P < 0.001) compared with controls. CONCLUSIONS: The present study demonstrates increased frequency of oral signs and symptoms in patients with IBD. Patients with active CD had more oral signs compared with non-active CD patients. Manifestations such as nausea, vomiting, regurgitation and dry mouth may have detrimental effects on teeth and soft tissues of the oral cavity. Communication between gastroenterologists and dentists is imperative for success of the overall treatment of their patients.
Adult↗
Oral medicine for the dental practitioner. 6. Lesions of the tongue: disturbances of taste and salivary flow.
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Glossitis, Benign Migratory↗
Geographic tongue during a year of oral contraceptive cycles.
The geographic tongue of a 23-year-old female student was examined daily for one year. The size, number and location of the lesions were recorded using transparent films. The phase of the oral contraceptive cycle appeared to have a marked effect on the initiation and duration of the circinate lesions, the tongue changes being severest on the 17th day of the cycle. There was a positive correlation between the subjective complaint and the clinical picture of the tongue.
Adult↗
Erythema migrans: an unusual presentation.
A case of erythema migrans affecting the attached gingivae and the upper and lower labial mucosa is described. No lesions were found on the tongue although this is the site most commonly affected.
Adult↗