Epidermólisis ampollosa de la unión: implicación oral. A propósito de un caso

Vallejo, A. Pipa; Monje, E. López-Arranz; García, Mónica González; Mauriz, J. Ortiz; Muñiz, Miguel

doi:10.4321/s0213-12852010000200003

Cited by 1 publication

(3 citation statements)

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“…In 10.52 %, they were the only lesions, while in others, they were part of a broader systemic process. Most lesions involved the lower jaw, in agreement with Pippa Vallejo (2016) 10 regarding lytic bone lesions present in the ascending branch and posterior portion of the mandibular body, which may be single or multiple.…”

Section: Discussionsupporting

confidence: 88%

“…When osteolysis involves the alveolar process, the loss of supporting bone tissue leaves the tooth “floating” within the lesion produced by LCH. In some cases, the gum accompanied the bone resorption with loss of insertion level and consequent exposure of the root 10 . Lytic lesions observed radiographically in the alveolar bone had a flat base and rounded walls, as if shaped by a hole puncher 26 .…”

Section: Discussionmentioning

confidence: 99%

“…The bones in which LCH was most frequently found were skull (27%), mandible and maxilla (11%), and the long bones femur (13%), humerus (5%) and tibia (3%) 9 . In the oral cavity, there may be lytic bone lesions in one or several areas, pathological mandibular fractures, pain, sores, periodontal involvement with marked tooth mobility, early tooth eruption, or mobility and premature loss of primary or permanent teeth 10-12 . According to the organs involved, the disease is grouped into three subtypes:…”

Section: Introductionmentioning

confidence: 99%

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Langerhans cell histiocytosis oral lesions in pediatric patients

H Pavan,

Fernández de Preliasco,

Ienco

et al. 2023

Acta Odontol Latinoam

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Langerhans cell histiocytosis (LCH) is a disease with unknown etiology. It presents as single-system (affecting a single organ or tissue) or as multisystem (with or without risk organ involvement). The oral cavity may be involved or be the site of the first manifestation. Aim: To describe, group, and determine the frequency of oral lesions in pediatric patients with LCH, and to relate these lesions to age and the different disease subtypes. Materials and Method: Clinical and radiographic examinations were used to evaluate 95 patients diagnosed with LCH, aged 0 to 16 years, who were referred to the Department of Comprehensive Pediatric Dentistry at the School of Dentistry, University of Buenos Aires. Clinical histories were prepared and informed consents obtained. Lesions were diagnosed by observation, palpation and biopsies, and grouped according to affected tissues into bone, mucosal, and bone-mucosal. Results: 42.1% presented oral lesions, and in 14.73%, these lesions were the first manifestation of LCH. Ninety percent presented only bone lesions, while the remaining 10% presented bone-mucosal and mucosal lesions. In the single-system subtype, 52.5% presented bone lesions. In the multisystem subtypes (with or without risk organs), all three types of lesions were found. The association between age at which LCH was diagnosed and oral tissue involvement showed that bone-mucosal lesions occur in young children (average age 1.4 years) diagnosed with multisystem LCH. Oral mucosa was only affected in reactivations of the disease. Conclusions: A high frequency of oral lesions was observed, which were sometimes the first manifestation of the disease, most often affecting bone tissue. Dentists can play an active role in the initial diagnosis of the disease.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%