Tong D C, Leaper M R, Colquhoun A N, Rich A M
Department of Oral Diagnostic and Surgical Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand.
J Laryngol Otol. 2008 Oct;122(10):1112-4. doi: 10.1017/S0022215107000631. Epub 2007 Sep 25.
We present the case of a 59-year-old Chinese patient with an unusual presentation of mucosal plasmacytosis involving the oropharynx, related to the use of toothpaste.
Case presentation and review of English medical literature involving mucosal plasmacytosis.
Mucosal plasmacytosis is an uncommon disease process and has been associated with hypersensitivity reactions. Most cases involve the gingival mucosa, although there have been reports of cases involving other oral mucosal sites and the upper aerodigestive tract. Our case provides an example of oropharyngeal plasmacytosis related to toothpaste. A resolution of signs and symptoms followed withdrawal of the suspected allergens.
Mucosal plasmacytosis is a benign inflammatory process that may appear to be more sinister on clinical examination. Skin patch testing is a useful adjunct in confirming the diagnosis.
我们报告一例59岁的中国患者,其表现为累及口咽的黏膜浆细胞增多症,与牙膏使用有关。
病例报告及对涉及黏膜浆细胞增多症的英文医学文献进行回顾。
黏膜浆细胞增多症是一种罕见的疾病过程,与超敏反应有关。大多数病例累及牙龈黏膜,尽管也有累及其他口腔黏膜部位及上呼吸道消化道的病例报告。我们的病例是与牙膏相关的口咽浆细胞增多症的一个实例。停用可疑过敏原后,体征和症状得到缓解。
黏膜浆细胞增多症是一种良性炎症过程,在临床检查中可能看似更为严重。皮肤斑贴试验有助于确诊。