ABSTRACT
Lichen planus (LP) is a chronic mucocutaneous inflammatory condition that typically affects middle-aged adults. Esophageal involvement in LP is rare and underrecognized, often leading to delayed diagnosis and treatment of LP. Herein, we describe three cases of esophageal LP (ELP) in clinically symptomatic patients with endoscopic lesions in the upper to mid-esophagus. This case series suggests that ELP is be more common than was previously thought and emphasizes that clinicians should have a high index of suspicion for this diagnosis, particularly when evaluating proximal esophageal lesions in patients presenting with dysphagia. The series also highlights the successful treatment of our patients with budesonide-honey slurry.
Subject(s)
Adult , Humans , Deglutition Disorders , Delayed Diagnosis , Diagnosis , Lichen Planus , Lichenoid Eruptions , Lichens , Skin Diseases, PapulosquamousABSTRACT
Objective: To present a case of myotonic syndrome in a 35-year-old male patient and to review anddiscuss the literature. Discussion and conclusion: The myotonic syndrome is a steadily progressive,familial, distal myopathy with associated weakness of the muscles of face, jaw, neck and elevators of theeyelids, a tendency for myotonic persistence of contraction in the affected parts and testicular atrophy.The patient was referred to the Department with complaint of recurrent temporomandibular joint dislocation,presenting with the characteristic oro-facial manifestations of myotonic syndrome.
Objetivo: Apresentar um caso de síndrome miotônica em um paciente adulto, 35 anos, sexo masculino, bem comorever e discutir a literatura pertinente. Discussão e conclusão: A síndrome miotônica é uma miopatia distal deprogressão contínua, familiar, e associada à fraqueza dos músculos da face, mandíbula, pescoço e músculos elevadoresdas pálpebras, com tendência de persistência de contratura miotônica nas partes afetadas, bem como atrofi a testicular.O paciente se apresentou ao departamento com queixa de deslocamento recorrente da articulação temporomandibular,apresentando as características de manifestações orofaciais de síndrome miotônica.
Subject(s)
Humans , Female , Adult , Face/abnormalities , Mouth Diseases/etiology , Myotonic Dystrophy/physiopathology , Muscle, Skeletal/physiopathologyABSTRACT
OBJECTIVE: To present and discuss a case of a rare disease in a 35 year old otherwise healthy maleIndian in origin reported to the Department of Oral Medicine and Radiology of the Dental College andResearch Institute, Bangalore, India. DISCUSSION: The cleidocranial dysplasia is a rare disease whichcan occur either spontaneously (40%) or by an autosomal dominant inheritance. The dentists are, mostof the times, the first professionals who patients look for to solve their problem, since there is a delayin the eruption and /or absence of permanent teeth. In the present case multiple missing teeth was thereason for patients visit to odontologist. CONCLUSION: An early diagnosis allows proper orientationfor the treatment, offering a better life quality for the patient.
OBJETIVO: Apresentar e discutir um caso de doença rara em paciente masculino, de 35 anos de idade, sadio, demodo geral, de origem indiana, que foi encaminhado ao Departamento de Medicina Bucal e Radiologia da Escola deOdontologia e Instituto de Pesquisa, Bangalore, Índia. DISCUSSÃO: A displasia cleidocraniana é uma doença raraque pode ocorrer espontaneamente (40%) ou por herança autossômica dominante. O cirurgião-dentista é, na maioriadas vezes, o primeiro profissional que o paciente procura para solução de seu problema, uma vez que há demora na erupção e/ou ausências de dentes permanentes. No presente caso, múltiplos dentes ausentes foram a razão para opaciente visitar o dentista. CONCLUSÃO: O diagnóstico precoce permite a orientação adequada para o tratamento,visando melhor qualidade de vida ao paciente.