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Núñez Amin Dick T, Rocha Santos L, Carneiro S, Moore D, Pestana S, Laerte Boechat J, Lavinas Sayed Picciani B. Investigation of oral atopic diseases: Correlation between geographic tongue and fungiform papillary glossitis. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2020; 122:283-288. [PMID: 32540362 DOI: 10.1016/j.jormas.2020.05.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Revised: 05/15/2020] [Accepted: 05/25/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION The correlation between oral lesions and atopy is not new, but few studies have investigated the prevalence of mucosal changes in diseases within the atopic spectrum, leading to conflicting data. Some studies found a possible relationship between geographic tongue, transient lingual papillitis and atopic diseases. AIM To investigate the frequency of geographic tongue and fungiform papillary glossitis in patients with atopic diseases, and its correlation with serum IgE levels and skin test results. MATERIAL AND METHODS The sample was comprised of participants with atopic diseases paired with participants who received negative puncture skin tests. All were submitted to stomatological and medical evaluations, prick test and oral cytopathological. RESULTS The female sex was more numerous in both groups. Mean age was 21 years. A total of 60 diagnoses of atopic diseases were obtained, with allergic rhinitis being the most prevalent. Fungiform papillary glossitis was the most frequent oral lesion in both groups, while geographic tongue was present in 2 cases (2%) in the test group and 2 (2%) in the control group. Atopic patients with fungiform papillary glossitis presented high serum IgE levels. In atopic patients with geographic tongue, the prick test positively identified extracts of Dermatophagoides pteronyssinus (100%) and Dermatophagoides farinae (100%). CONCLUSION Due to the low frequency of geographic tongue lesions found in the study, it is no possible to conclude if that could be an oral manifestation of atopy. However fungiform papillary glossitis is a common alteration in atopic and non-atopic patients and has a relationship with high IgE serum levels. However, the consolidation of this result requires a larger sample size.
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Affiliation(s)
- T Núñez Amin Dick
- Postgraduate Program in Pathology, School of Medicine, Fluminense Federal University, 303, Marquês do Paraná, 4th floor, 24033-900 Niterói, Rio de Janeiro, Brazil
| | - L Rocha Santos
- Postgraduate Program in Pathology, School of Medicine, Fluminense Federal University, 303, Marquês do Paraná, 4th floor, 24033-900 Niterói, Rio de Janeiro, Brazil
| | - S Carneiro
- Sector of Dermatology, Medical Clinic Department, Rio de Janeiro Federal University, Rio de Janeiro, Brazil
| | - D Moore
- Allergy and Clinical Immunology Service, School of Medicine, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - S Pestana
- Allergy and Clinical Immunology Service, School of Medicine, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - J Laerte Boechat
- Allergy and Clinical Immunology Service, School of Medicine, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - B Lavinas Sayed Picciani
- Postgraduate Program in Pathology, School of Medicine, Fluminense Federal University, 303, Marquês do Paraná, 4th floor, 24033-900 Niterói, Rio de Janeiro, Brazil.
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Oliveira ADT, Sodré CS, Ferreira DDC, Abad EDD, Saintive S, Ribeiro M, Cavalcante FS, Piciani B, Gonçalves LS. Oral Aspects Identified in Atopic Dermatitis Patients: A Literature Review. Open Dent J 2018; 12:424-434. [PMID: 29988222 PMCID: PMC6006715 DOI: 10.2174/1874210601812010424] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 04/26/2018] [Accepted: 05/14/2018] [Indexed: 12/16/2022] Open
Abstract
Introduction: Atopic dermatitis is a chronic inflammatory skin condition that is more prevalent in children (10-20% of the world's population) than in adults. As its etiology is multifactorial, it is important to know the most frequent oral manifestations in atopic dermatitis patients. Methodology: In the last decades, the correlation between atopic dermatitis and conditions and/or changes in the oral cavity has been demonstrated by several studies. The objective of this paper was to describe, through a review of the literature, the oral health conditions and/or oral aspects identified in patients with atopic dermatitis. Search Strategy: A descriptive literature review was carried out through a bibliographical survey based on the last 10 years, in order to answer the study questions. Results: As a result, we found six studies with different sample sizes, ranging from 43 to 468 patients, and the majority of them were of cross-sectional study design. Discussion: Two studies performed their analysis through dental exams and reported that patients with atopic dermatitis tend to have a greater frequency of carious lesions, and two studies correlated Candida with atopic dermatitis through mycological analyzes. Conclusion: There are a few studies in the literature that identify the oral aspects of atopic dermatitis. More investigations are needed in order to contribute to the knowledge of such oral aspects and the approach to treat these patients regarding oral health.
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Affiliation(s)
| | - Camila Stofella Sodré
- Department of Clinical Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Dennis de Carvalho Ferreira
- Faculty of Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.,Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro, Brazil
| | - Eliane de Dios Abad
- Pediatric Dermatology Service, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Simone Saintive
- Faculty of Dentistry, Veiga de Almeida University, Rio de Janeiro, Brazil
| | - Márcia Ribeiro
- Medical Genetics Service, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Bruna Piciani
- Department of Pathology, Fluminense Federal University, Rio de Janeiro, Brazil
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Kalogirou EM, Tosios KI, Nikitakis NG, Kamperos G, Sklavounou A. Transient lingual papillitis: A retrospective study of 11 cases and review of the literature. J Clin Exp Dent 2017; 9:e157-e162. [PMID: 28149482 PMCID: PMC5268094 DOI: 10.4317/jced.53283] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 08/02/2016] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Transient lingual papillitis (TLP) is a common, under-diagnosed, inflammatory hyperplasia of one or multiple fungiform lingual that has an acute onset, and is painful and transient in nature. MATERIAL AND METHODS Eleven cases of TLP were diagnosed based on their clinical features. Information on demographics, clinical characteristics, symptoms, individual or family history of similar lesions, medical history, management and follow-up were extracted from the patients' records. The English literature was reviewed on TLP differential diagnosis, pathogenesis and management. RESULTS The study group included 8 females and 3 males (age: 10-53 years, mean age 31.7±12.88 years). Seven cases were classified as generalized form of TLP and 4 as localized form. Nine cases were symptomatic. Time to onset ranged from 1 to 14 days. A specific causative factor was not identified in any case and management was symptomatic. CONCLUSIONS Although TLP is not considered as a rare entity, available information is limited. Diagnosis is rendered clinically, while biopsy is required in cases with a differential diagnostic dilemma. TLP should be included in the differential diagnosis of acute, painful tongue nodules. Key words:Transient lingual papillitis, fungiform papillary glossitis, tongue, nodules.
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Affiliation(s)
- Eleni-Marina Kalogirou
- DDS MSc, Department of Oral Medicine and Pathology, National and Kapodistrian University of Athens, Athens, Greece
| | - Konstantinos I Tosios
- DDS, PhD, Assistant Professor, Department of Oral Medicine and Pathology, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikolaos G Nikitakis
- DDS, MD, PhD, Associate Professor, Department of Oral Medicine and Pathology, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgios Kamperos
- DDS MSc, Department of Oral Medicine and Pathology, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexandra Sklavounou
- DDS, MSc, PhD, Professor, Department of Oral Medicine and Pathology, National and Kapodistrian University of Athens, Athens, Greece
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Järvinen J, Mikkonen JJ, Kullaa AM. Fissured tongue: A sign of tongue edema? Med Hypotheses 2014; 82:709-12. [DOI: 10.1016/j.mehy.2014.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Accepted: 03/05/2014] [Indexed: 02/08/2023]
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Ching V, Grushka M, Darling M, Su N. Increased prevalence of geographic tongue in burning mouth complaints: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:444-8. [PMID: 22901641 DOI: 10.1016/j.oooo.2012.04.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2011] [Revised: 04/09/2012] [Accepted: 04/11/2012] [Indexed: 01/18/2023]
Abstract
OBJECTIVES The objective of this study was to assess the frequency of geographic tongue and fissured tongue (GFT) in patients with burning mouth syndrome (BMS). Our hypothesis was that benign soft tissue changes to the tongue, such as GFT, are associated with BMS. STUDY DESIGN Retrospective review of 161 patients with BMS and 87 TMJ dysfunction cases as control. Frequency of GFT and demographics for both groups was assessed. RESULTS In the BMS group, 26.7% of the subjects were diagnosed with GFT, whereas in the control group, 11.5% had GFT (P < .05). In the subgroup of BMS with GFT, the male-to-female ratio was approximately 1:2, whereas the male-to-female ratio of those with BMS and no GFT was approximately 1:5 (P < .05). CONCLUSIONS Our results demonstrate a higher than expected prevalence of GFT among patients with BMS compared with a control group of patients with TMJ. In males, GFT may be a significant predictor for BMS.
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Affiliation(s)
- Victor Ching
- Department of Nursing, Faculty of Health, York University, Toronto, Ontario, Canada
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Bouquot JE, Adibi SS, Sanchez M. Chronic lingual papulosis: new, independent entity or "mature" form of transient lingual papillitis? Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113:111-7. [PMID: 22669070 DOI: 10.1016/j.tripleo.2011.09.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2011] [Revised: 09/14/2011] [Accepted: 09/19/2011] [Indexed: 10/14/2022]
Abstract
OBJECTIVE Several acute, usually pediatric variants of edematous, symptomatic fungiform lingual papillitis have been reported since the 1990s, most notably transient lingual papillitis (TLP); but no chronic forms have been mentioned. Is there a chronic counterpart, akin to the older palatal examples of inflammatory papillary hyperplasia? The objective of this study was to clinicopathologically characterize a previously unreported entity with clustered, chronic fibrous papules (nonsyndromic) of the tongue. METHODS Cases were collected from clinics in 2 dental schools. RESULTS Five women and 4 men were identified with multiple, moderately firm, slightly pedunculated, normally colored masses clustered at the tip of the tongue (n = 4), covering the dorsal surface (n = 4) or on the lateral border (n = 1); 2 showed several erythematous or edematous papules (similar to TLP) admixed with fibrous papules. Patient ages ranged from 31 to 62 years (average 49) and all lesions had been present for many years. All lesions were asymptomatic except for the lateral border lesion, which presented with a burning sensation and mild tenderness (disappeared with antifungal medication). Five cases were associated with mouth breathing or a tongue-thrust habit; 4 were associated with geographic tongue or fissured tongue. Four papules were biopsied. All were composed of dense, avascular fibrous tissue with no or very few inflammatory cells; one showed focal mild neovascularity and edema. The lesion appeared to represent altered filiform papillae, more so than fungiform papillae. CONCLUSIONS Chronic lingual papulosis (CLP) is an innocuous entity represented by focal or diffuse enlargement of numerous lingual papillae, primarily the filiform papillae. It appears to usually have an adult onset and most likely represents papillary reaction to very low-grade, chronic irritation or desiccation. Some cases with childhood onset, however, seem to be variations of normal anatomy. No treatment or biopsy is required, but a number of systemic disorders and syndromes must be ruled out before applying the CLP diagnosis.
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Affiliation(s)
- Jerry E Bouquot
- Department of Diagnostic & Biomedical Sciences, School of Dentistry, University of Texas Health Science Center, Houston, Texas 77030, USA.
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Goregen M, Melikoglu M, Miloglu O, Erdem T. Predisposition of allergy in patients with benign migratory glossitis. ACTA ACUST UNITED AC 2010; 110:470-4. [PMID: 20674406 DOI: 10.1016/j.tripleo.2010.04.036] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2010] [Revised: 04/12/2010] [Accepted: 04/21/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate the presence of allergy in patients with benign migratory glossitis (BMG) using patch and prick tests. PATIENTS AND METHODS Eighty patients (40 BMG and 40 healthy controls) received patch and prick tests. If at least one test result was positive, patients were considered to be allergic. RESULTS The prick test was positive in 10 patients (25.0%) of the study group and in 4 patients (10.0%) of the control group. The patch test was positive in 12 patients (30.0%) of the study group and in 6 patients (15.0%) of the control group. When results of both tests were evaluated together, the study group showed a positive rate of 47.5% (n = 19), whereas the control group showed a positive rate of 22.5% (n = 9) (P = .02). CONCLUSION Our results revealed that a combination of prick and patch tests can significantly enhance the diagnostic accuracy of predisposition of allergy in patients with BMG.
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Affiliation(s)
- Mustafa Goregen
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
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Miloğlu Ö, Göregen M, Akgül HM, Acemoğlu H. The prevalence and risk factors associated with benign migratory glossitis lesions in 7619 Turkish dental outpatients. ACTA ACUST UNITED AC 2009; 107:e29-33. [DOI: 10.1016/j.tripleo.2008.10.015] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 10/11/2008] [Accepted: 10/18/2008] [Indexed: 11/24/2022]
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Gueiros LA, Leon JE, Lopes MA, de Almeida OP, Jorge J. Subgemmal neurogenous plaque associated with burning tongue: report of two cases and review of the literature. Int J Oral Maxillofac Surg 2008; 37:773-6. [PMID: 18372161 DOI: 10.1016/j.ijom.2008.01.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2007] [Revised: 11/16/2007] [Accepted: 01/31/2008] [Indexed: 11/26/2022]
Abstract
Subgemmal neurogenous plaques, biphasic structures with a neurofibroma and neuroma patterns, are observed in tongue biopsies involving subepithelial areas, being characterized as aggregates of nerve plexus and ganglion cells. Oral burning symptoms, having many possible causes, are commonly observed during oral medicine practice, but the association of subgemmal neurogenous plaque with tongue burning symptoms is very unusual. Reported here are two cases of focal burning sensation in the lateral border of the tongue diagnosed as subgemmal neurogenous plaque through biopsy. Recognizing this entity is important to avoid misdiagnosis of other neural proliferations, especially in cases involving focal tongue burning.
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Affiliation(s)
- L A Gueiros
- Dental School of Piracicaba, Unicamp, Brazil
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Chaudhry SI, Buchanan JAG, Boulter A, Hodgson TA, Porter SR. Fungiform papillary glossitis: a ‘new’ diagnosis or a ‘misdiagnosis'? Br J Dermatol 2006; 155:642-3. [PMID: 16911304 DOI: 10.1111/j.1365-2133.2006.07382.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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