No age predilection for a disease like OSMF. A case report of 5-year-old child

Abstract

Background: Oral Sub Mucous Fibrosis (OSMF) is a clinical entity, well known since the time of Sushruta as 'Vidari'. OSMF is a chronic subtle disease that is associated with significant functional morbidity and an increased risk for malignancy. Generally, OSMF is considered as an adult disease, but recently Indian suburb area has reported incidence of 0.2-1.2 percent in pediatric age group as well. The pathogenesis of the disease is not well established, but is believed to be multifactorial. Areca nut chewing is considered as the major etiology amongst all. Children indulge in habit of chewing areca nuts due to its easy availability of different forms of multicolored attractive areca nut pouches in markets. Other factors involved in the consumption of Areca nut are levels of awareness, household environment, peer pressure, low cost, etc. Case presentation: A 5-year-old boy reported with the complaint of restricted mouth opening since 3-4 months. He had habit of chewing betel nut, a minimum of 2-3 sachets daily since one and a half years. He also complained of intolerance to spicy food. The oral mucosa was pale, opaque, blanched with a reduced mouth opening of interincisal width being 06 mm.Palate was fibrotic with shrunken uvula. Conclusion: This Case of OSMF in a 5-year-old boy is reported to be the first incidence of OSMF in a child with least interincisal opening of 06 mm.

Oral submucous fibrosis in children: an alarming condition and challenges in management

“… 7 Jain et al 1 had conducted a review in 2019 with cases below 10 years of age and presented with a protocol for management of this premalignant condition in paediatric population. Talla et al 8 and Kariya et al 9 both reported a case of OSF in 5-year-old child. Recently, More et al 10 conducted an analysis of 36 cases of OSF in the paediatric population.…”

Oral Submucous Fibrosis: a Premalignant Condition in a 22-Year-Old Iranian Man

“…OSF affects people of all ages, however, it is more common in adults between the decade of 2 to 4 and slightly more frequently in females than in males 5 , 7 . It begins gradually and often lasts between 2 to 5 years but several cases with sudden onset and different periods have been reported 8 .…”

Novel Treatment Approach of Oral Submucous Fibrosis in a 6-year-old Girl: A Case Report

“… 2 It is characterized by reduced movement and depapillation of the tongue, blanching and leathery texture of mucosa, trismus, and inability to eat, associated with the formation of vesicle due to juxtaepithelial inflammatory reaction followed by fibroelastic changes in lamina propria and epithelial atrophy. 3 The prevalence of OSMF in the Indian subcontinent has been estimated to range from 0.2 to 2.3% in males and 1.2 to 4.6% in females, with a broad age range from 11 to 60 years. 4 In recent years, there is an increased prevalence of OSMF in the younger population mainly due to household environment, peer pressure, and attractive pouches of areca nut products.…”