ABSTRACT
Objective: Multifocal epithelial hyperplasia (MEH) or Heck's disease is a rare benign disorder caused by Human Papilloma Virus (HPV). It is characterized by multiple soft well demarcated nodules of the oral mucosa. They are commonly seen in buccal, labial and lingual mucosa. However, tonsilar and gingival lesions have also been reported. A detailed clinical history, examination and histopahological review is needed to arrive at a diagnosis. The aim of this report is to show the successful treatment of MEH using Salicylic acid and Zinc supplement. Case Report. Two cases of a 5year old Hausa girl and 7-year-old Hausa boy with a widespread oral lesion of 8 months and 1-year duration respectively. The diagnosis of the case reported were based on clinical evaluation and histopathological investigation. The presence of multiple painless pink nodules and papules on the lips, buccal mucosa and the gingiva as well as histological presence of koliocytes and mitosoid seen on hematoxylin and eosin slide led to the diagnosis of MultifocalEpithelial Hyperplasia. Conclusion: We reported 2 cases of MEH, a rare benign oral mucosa lesion in a 5-year-old Hausa female and a 7year old Hausa male in North-West Nigeria who presented with 8 months and 1-year history of widespread oral mucosa lesion respectively and was treated successfully using salicylic acid and zinc supplement
Subject(s)
Focal Epithelial Hyperplasia , Nigeria , Salicylic Acid , ZincABSTRACT
A preliminary short follow-up study of Hanganutziu and Deicher (HD) antibody titre and sialic acid levels in sera from 7 patients with hepatoma was carried out. Weekly HD antibody titres were abnormal in 6 patients with titres of 4 of the 6 falling to normal in some weeks. Sialic acids levels; however were abnormal (3.830-6.82mmol/ l) compared to those of 33 normal sera (1.08-2.73 mmol/1) throughout the 8 week screening period. There was a poor correlation between the antibody tires and the sialic acid levels (r0.50) suggesting that at some stage of malignancy; the tumour was expressing N-glycolylneuraminic acid (Neu5Gc); the epitope of HD antigens as well as shedding into circulation; excess N-acetylneuraminic acid (Neu5Gc). Neu5Gc is a tumor-associated antigen. Measurement of antibodies to this epitope have shown that the antibodies have a potential of offering an alternative method of determining tumor growth and/or metastases. A major follow-up study incorporating information on cancer type; disease stage; therapy and the immnunological status of the patient is called for