Dental manifestations of dermatologic conditions

Freiman, Anatoli; Borsuk, Daniel E.; Barankin, Benjamin; Sperber, G.H.; Krafchik, Bernice R.

doi:10.1016/j.jaad.2008.09.056

Cited by 33 publications

(26 citation statements)

References 47 publications

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“…However, in those patients that do survive, the disease causes a disturbance in dental development producing abnormalities that are distinguishable features of the disease. The most recognisable are Hutchinson's incisors, while others include Moon's molars and Fournier's "mulberry" molars [15,16,[24][25][26][27][28][29][30]. It is this characteristic that can support a differential diagnosis of the disease.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Ioannou

Henneberg

et al. 2015

Journal of Anthropology

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Without the presence of “caries sicca,” “sabre shins,” and nodes/expansion of the long bones with superficial cavitation, differential diagnosis of venereal syphilis and tuberculosis (TB) may be difficult as various infections produce similar responses. However, congenital syphilis has distinctive features facilitating a diagnosis. A case study of remains of a juvenile European settler (probably male, 8–10 years old) (B70) buried in the 19th century and excavated in 2000 from the cemetery of the Anglican Church of St. Marys in South Australia is presented. B70 demonstrated that the two diseases might have been present in the same individual, congenital syphilis and TB. Widespread destruction of vertebral bodies and kyphosis-related rib deformations indicate advanced TB. Severe dental hypoplasia is limited to permanent incisors and first molars; there is pitting on the palate, periosteal reaction on the skull vault, and thinned clavicles. Dental signs are not limited to “screwdriver” central incisors and mulberry molars. Apical portions of the crowns of permanent upper, lower, central, and lateral incisors have multiple hypoplastic-disorganized defects; deciduous canines have severely hypoplastic crowns while possibly hypoplastic occlusal surfaces of lower deciduous second molars are largely destroyed by extensive caries. These dental abnormalities resemble teeth affected by mercurial treatment in congenital syphilitic patients as described by Hutchinson.

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Section: Introductionmentioning

confidence: 99%

Diagnosis of Mercurial Teeth in a Possible Case of Congenital Syphilis and Tuberculosis in a 19th Century Child Skeleton

Ioannou

Henneberg

et al. 2015

Journal of Anthropology

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“…Moreover, in the 300 clinical files studied from the archive of Portuguese National Leprosarium Rovisco Pais, LO was never mentioned by the physicians (Matos, 2009). In addition, this tooth anomaly is not mentioned in leprosy textbooks (Carayon and Dharmendra, 1985;Hastings, 1989;Gelber, 2006;Sehgal, 2006) or in a recent revision (Freiman et al, 2009) regarding the dental manifestations related to dermatological conditions. Due to its rarity, the etiological and epidemiological significance of the condition is poorly understood.…”

Section: Discussionmentioning

confidence: 97%

Leprogenic odontodysplasia: new evidence from the St. Jørgen’s medieval leprosarium cemetery (Odense, Denmark)

Matos

Santos

2013

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Leprogenic odontodysplasia (LO), also known as dens leprosus, consists of anomalous root development of the permanent upper incisors. This dental anomaly was first reported by Danielsen in 1968 among Danish juvenile skeletons from medieval leprosaria cemeteries. As yet, no clinical cases have been documented and the etiological and epidemiological significance of the condition are poorly understood. The aim of this study is to discuss a case of LO found amongst the skeletons from the St. Jørgen's leprosarium cemetery (13th-16th/17th centuries), housed in the ADBOU (Anthropological Database of Odense University), Southern Denmark University. A juvenile individual presents a disarticulated maxillary right central incisor possessing a short root that shows a groove caused by marked constriction beginning approximately 1.5 mm above the neck. From this groove, the diameter decreases considerably until the apex. Atrophy of the anterior alveolar maxillary process, extending laterally from the central incisors to the canines, is also apparent. This individual exhibits additional rhinomaxillary lesions (e.g. absorption of the piriform margin including the anterior nasal spine) and foot changes (including phalangeal acro-osteolysis) compatible with a diagnosis of lepromatous leprosy. This case contributes to the debate about the significance of this rare condition, particularly in terms of its presence in Scandinavian skeletons from medieval leprosaria cemeteries. Possible interpretations are discussed, including the pathognomonic value of the specific lesion and whether it indicates early childhood onset of leprosy during the Middle Ages. The understanding of LO epidemiology and its relationship with leprosy will benefit from future clinical and skeletal studies.

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“…6-10 The described hair disorders include partial or total hair loss, chronic dermatitis of the scalp with the formation of crusts (in Rapp-Hodgkin syndrome), heterogeneity of thick stems, trichorrhexis nodosa, pili torti and pili canaliculi, or trichothiodystrophy. [11][12][13][14][15][16] Trichoscopy (videodermoscopy of hair and scalp) is a new method that allows viewing hair shafts in vivo in many-fold magnification without the need of pulling hair. 17,18 We showed that hypotrichosis in this group of patients is most commonly due to predominance of follicular units with single hair (usually hair grows in groups of 2 or 3 hair in 1 follicular unit, and the percentage of pilosebaceous units with 1 hair is usually less than 10%).…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10] Described hair disorders include the partial or total hair loss, chronic dermatitis of the scalp with the formation of crusts (Rapp-Hodgkin syndrome), trichorrhexis nodosa, pili torti, pili canaliculi, or trichothiodystrophy. [11][12][13][14][15][16] In recent years, physicians have utilized an additional diagnostic tool for hair and scalp disorders-trichoscopy (hair and scalp dermoscopy), 17-21 a rapid in-office technique, which has become a standard procedure in differential diagnosis of hair loss. [20][21][22] There are only few reports addressing trichoscopy features in hair genetic disorders and none in the group of patients with ED.…”

mentioning

confidence: 99%