重度龋齿作为原发性干燥综合征的首发临床特征。
Severe dental caries as the first presenting clinical feature in primary Sjögren's syndrome.
作者信息
Ahmadi Elham, Fallahi Sasan, Alaeddini Mojgan, Hasani Tabatabaei Masoomeh
机构信息
Shahrekord University of Medical Sciences, Shahrekord, Iran. ; Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Caspian J Intern Med. 2013 Summer;4(3):731-4.
BACKGROUND
Sjögren's syndrome is an autoimmune syndrome involving the exocrine glands specially the salivary and lacrimal glands leading to xerostomia and xerophtalmia. This paper presents a case with primary Sjögren's syndrome that severe dental caries were the first clinical manifestation.
CASE PRESENTATION
A 42-year-old man was referred to the School of Dentistry, Tehran University of Medical Sciences due to unexplained severe dental decays. After systematic evaluation and consultation with the rheumatologist and the ophthalmologist, the diagnosis of primary Sjögren's syndrome was suggested and confirmed by serologic and histopathologic study.
CONCLUSION
Primary Sjögren's syndrome should be considered in the differential diagnosis of patients with early severe dental caries.
背景
干燥综合征是一种自身免疫性综合征，累及外分泌腺，尤其是唾液腺和泪腺，导致口干和眼干。本文介绍了一例以严重龋齿为首发临床表现的原发性干燥综合征病例。
病例报告
一名42岁男性因不明原因的严重龋齿被转诊至德黑兰医科大学牙科学院。经过系统评估并与风湿病学家和眼科医生会诊后，通过血清学和组织病理学研究提示并确诊为原发性干燥综合征。
结论
对于早期严重龋齿患者进行鉴别诊断时应考虑原发性干燥综合征。
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