ABSTRACT
El leucoedema es una patología oral supuestamente muy frecuente, mientras que el nevo blanco esponjoso es una rareza. Sin embargo, ambas entidades son muy parecidas en cuanto a clínica, histopatología, microscopia electrónica, evolución y tratamiento. Se presenta el caso de un varón de 46 años con lesiones blanquecinas en la mucosa oral. Se realiza un exhaustivo diagnóstico diferencial entre leucoedema y nevo blanco esponjoso, llegándose a la conclusión de que son entidades relacionadas (AU)
Subject(s)
Male , Middle Aged , Humans , Leukoedema, Oral/diagnosis , Nevus/diagnosis , Skin Neoplasms/diagnosis , Leukoedema, Oral/complications , Leukoedema, Oral/etiology , Leukoedema, Oral/drug therapy , Clinical Evolution , Diagnosis, Differential , Tobacco Use Disorder/adverse effects , Mouth Mucosa/parasitology , Mouth Mucosa/pathology , Nevus/complications , Nevus/etiology , Nevus/drug therapy , Candida/isolation & purification , Candida/pathogenicity , Tongue/parasitology , Tongue/pathology , Fluconazole/pharmacology , Amoxicillin/pharmacologyABSTRACT
The clinical and histologic features of sucking pads in neonates are clearly different from sucking blisters and leukoedema, both of which may also be present in neonates. We propose that the condition is due to a combination of intracellular edema and hyperkeratosis. Perhaps the alternative term of sucking calluses is more appropriate. The intracellular edema is ascribed to passive diffusion of fluid, presumably saliva, into the cells, while the hyperkeratosis is regarded as an adaptive phenomenon to friction during sucking.
Subject(s)
Callosities/etiology , Leukoedema, Oral/complications , Lip Diseases/etiology , Mouth Diseases/complications , Adult , Callosities/pathology , Child, Preschool , Female , Humans , Infant, Newborn , Lip Diseases/pathology , PregnancyABSTRACT
The most frequent swellings in the maxillofacial region can be traced to odontogenic inflammations. Chronic dental foci exacerbate and break through the soft tissue layer surrounding the jaw. There the purulent material quickly spreads along the muscular pocket and simulates a phlegomonous inflammation. Inflammations of the individual soft part niches have characteristic symptoms. Because of the loose interconnections the infectious material can spread very quickly into the parapharyngeal space and from there downwards into the mediastinum or upwards into the base of the skull. Because of the danger of an advance in these spaces, it will be necessary to incise the swellings on time.
