Tremblay Steve, Avon Sylvie Louise
Laval University, Faculty of dentistry, 2420 De la Terrasse St., Quebec City, QC G1V 0A6.
J Can Dent Assoc. 2008 Jun;74(5):445-61.
Allergic contact stomatitis is a rare disorder that is unfamiliar to most clinicians. The vast majority of cases are associated with consumption of products containing cinnamaldehyde or cinnamon essential oil, which are used as flavourings because of their pleasant taste and sensation of freshness. We report here the case of a patient who was diagnosed with alllergic contact stomatitis due to cinnamon-flavoured chewing gum. The clinical features of allergic contact stomatitis, which may occur indiscriminately on any of the oral mucosa, include edema and erythroplakic, ulcerous or hyperkeratotic changes, generally accompanied by a burning sensation. The histopathologic aspect of allergic contact stomatitis is nonspecific but tends to support the clinical diagnosis. Treatment generally consists of eliminating the causal agent. To avoid unnecessary diagnostic procedures and treatments, it is important for clinicians to recognize this disorder to be able to diagnose it quickly and accurately.
过敏性接触性口炎是一种罕见的疾病,大多数临床医生对此并不熟悉。绝大多数病例与食用含有肉桂醛或肉桂精油的产品有关,这些产品因其宜人的味道和清新感而用作调味剂。我们在此报告一例因肉桂味口香糖而被诊断为过敏性接触性口炎的患者。过敏性接触性口炎可在口腔黏膜的任何部位随机发生,其临床特征包括水肿以及红斑、溃疡或角化过度改变,通常伴有烧灼感。过敏性接触性口炎的组织病理学表现不具有特异性,但往往有助于临床诊断。治疗通常包括消除病因。为避免不必要的诊断程序和治疗,临床医生认识这种疾病以便能够快速准确地诊断非常重要。