ABSTRACT
This case is presented to challenge the reader to formulate a differential diagnosis for a patient who visits the dentist with spontaneous, continuous gingival bleeding. When this situation occurs, it is serious and requires immediate attention and a specific treatment plan to arrive at the underlying diagnosis and control the bleeding. The signs and symptoms of a patient with gingival bleeding are presented for diagnosis; the history and management are detailed, and may be useful in diagnosing and treating similar patients.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Gingival Hemorrhage/etiology , Purpura, Thrombocytopenic/etiology , Candidiasis, Oral/etiology , Humans , Immunocompromised Host , Male , Middle Aged , Purpura, Thrombocytopenic/complications , Purpura, Thrombocytopenic/immunologyABSTRACT
The gingival cyst of the adult (GCA) is an uncommon gingival lesion that is usually found within attached or unattached soft tissues. It is generally considered to be a cyst of odontogenic origin, though this is still debated somewhat. This article reviews the diagnosis and treatment of GCA and summarizes the features of eight cases.
Subject(s)
Gingival Diseases/pathology , Odontogenic Cysts/pathology , Adult , Aged , Diagnosis, Differential , Epithelium/pathology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Periodontal Cyst/pathologyABSTRACT
Acanthosis nigricans is a distinctive skin disease of importance, because it has served as an external marker for a variety of systemic disorders including endocrinopathies, and malignant tumors of internal organs. It typically appears as hyperpigmented, roughened plaques of velvety consistency and infrequently as verruca-like papillations. The oral cavity and lips can be affected by florid papillary growths. Because of its rarity and nonspecific microscopic appearance, clinical recognition of acanthosis nigricans continues to be a challenge. A case of mucocutaneous "malignant" acanthosis nigricans is presented in which pigmented skin lesions led to the discovery of a gastric adenocarcinoma, which in turn was followed by the appearance of massive oral papillomatosis. No effective treatment was found.
Subject(s)
Acanthosis Nigricans/pathology , Adenocarcinoma/complications , Mouth Neoplasms/pathology , Papilloma/pathology , Stomach Neoplasms/complications , Acanthosis Nigricans/complications , Adenocarcinoma/secondary , Fatal Outcome , Humans , Male , Middle Aged , Mouth Neoplasms/complications , Multiple Organ Failure/etiology , Papilloma/complicationsABSTRACT
Stomatitis areata migrans, unlike its analogue on the tongue, migratory glossitis, is not easily recognized and is so uncommon and varied in appearance that it may escape definitive diagnosis. It may be so puzzling to the clinician that the patient's credibility may be questioned. A detailed report of a case is presented in which an atypical migratory stomatitis went undiagnosed. Bizarre patient behavior followed in the form of self-inflicted injury (Munchausen syndrome) as the patient attempted to convince the care providers of the true existence of lesions in order to maintain their interest and to obtain relief from discomfort.
Subject(s)
Glossitis, Benign Migratory/complications , Munchausen Syndrome/complications , Stomatitis/complications , Adult , Chronic Disease , Diagnosis, Differential , Ecchymosis/complications , Facial Dermatoses/complications , Female , Glossitis, Benign Migratory/pathology , Humans , Joint Dislocations , Recurrence , Stomatitis/pathology , Temporomandibular Joint/injuriesABSTRACT
Various aspects of eczema herpeticum are discussed, and a case of eczema herpeticum secondary to atopic dermatitis complicated by primary herpetic gingivostomatitis in a young adult is presented. The lesions cleared, and the patient was discharged after treatment via a multiphasic approach directed at the management of pyrexia, prevention of secondary bacterial infections, symptomatic and supportive care for the effects of the viral infection, and close monitoring for evidence of visceral viremia.