Subject(s)
Carotid-Cavernous Sinus Fistula/etiology , Eye Injuries, Penetrating/etiology , Wounds, Gunshot/complications , Carotid-Cavernous Sinus Fistula/diagnosis , Carotid-Cavernous Sinus Fistula/diagnostic imaging , Carotid-Cavernous Sinus Fistula/therapy , Embolization, Therapeutic , Eye Injuries, Penetrating/diagnostic imaging , Eye Injuries, Penetrating/therapy , Humans , Image Processing, Computer-Assisted , Imaging, Three-Dimensional , Male , Middle Aged , Tomography, X-Ray Computed , Wounds, Gunshot/diagnostic imaging , Wounds, Gunshot/therapyABSTRACT
Gingival enlargements (GEs) can be caused by local, systemic diseases or drugs. Three molecules can be responsible of GEs: ciclosporin, phenytoin and calcium channel blockers (CCBs). We report the case of a 56-year-old male treated by Amlodipine, a CCB, for hypertension for many years and who recently developed a severe GE affecting both mandibular and maxillary arches inducing dental malposition. The histological examination showed non-specific inflammation with a predominance of lymphocytes. Amlodipine was suspected and suspended in agreement with his physician. One month later, the enlargement significantly reduced but GE was so severe and dental malposition so marked that all the teeth but the canines were extracted. No recurrence was noted one year later. This exceptional case should encourage every practitioner to be vigilant with patient treated with CCBs and their potential side effects and consequences.
Subject(s)
Amlodipine/adverse effects , Gingival Overgrowth/chemically induced , Gingival Overgrowth/diagnosis , Gingival Overgrowth/drug therapy , Calcium Channel Blockers/adverse effects , Calcium Channel Blockers/therapeutic use , Humans , Male , Middle AgedABSTRACT
Less-lethal weapon are more and more used in law enforcement to neutralize combative individuals and to disperse riot crowds. Even if this type of weapon has been created to be less damaging than classical firearms, it has been incriminated many times in cases of facial injuries with functional consequences, even death. In many countries, these guns can be possessed by average citizens. They could be extremely harmful when handled by inexperienced users and cannot be considered solely as defense weapons. Interestingly, little literature is available concerning facial injuries caused by the less-lethal weapons. We report the case of a ballistic wound on a 3-year-old child.
