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“梅毒:伟大的模仿者”患者腭部穿孔的修复性康复治疗

Prosthetic rehabilitation of palatal perforation in a patient with 'syphilis: the great imitator'.

作者信息

Murthy Varsha, Vaithilingam Yuvraj, Livingstone David, Pillai Ajay

机构信息

Department of Prosthodontics, Indira Gandhi Dental College, Pondicherry, India.

Department of Oral & Maxillofacial Surgery, People's College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India.

出版信息

BMJ Case Rep. 2014 Jun 2;2014:bcr2014204259. doi: 10.1136/bcr-2014-204259.

DOI:10.1136/bcr-2014-204259
PMID:24891485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4054500/
Abstract

Syphilis is a sexually transmissible disease caused by treponema palladium, a microaerophilic spirochete. Syphilis may progress from primary to tertiary stage if left unnoticed and untreated. Dentists should be vigilant and suspect sexually transmitted infections such as syphilis in the differential diagnosis of oral inflammatory or ulcerative lesions with palatal perforation. Moreover, it is imperative that dentists should have knowledge about its stages, characteristic features, oral presentation and prosthetic rehabilitation. This case report describes a case of tertiary syphilis with palatal perforation and the prosthetic rehabilitation of the defect with a prosthetic obturator.

摘要

梅毒是一种由苍白密螺旋体(一种微需氧螺旋体)引起的性传播疾病。如果未被发现和治疗,梅毒可能从一期发展到三期。在鉴别诊断伴有腭穿孔的口腔炎性或溃疡性病变时,牙医应保持警惕并怀疑梅毒等性传播感染。此外,牙医必须了解其分期、特征、口腔表现和修复康复知识。本病例报告描述了一例伴有腭穿孔的三期梅毒病例以及用修复性阻塞器对缺损进行修复康复的情况。

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本文引用的文献

1
The reappearance of a forgotten disease in the oral cavity: syphilis.一种被遗忘的疾病在口腔中的再度出现:梅毒。
Med Oral Patol Oral Cir Bucal. 2009 Sep 1;14(9):e416-20.
2
Le Fort I osteotomy and the use of bilateral bichat bulla adipose flap: an effective new technique for reconstructing oronasal communications due to cocaine abuse.勒福Ⅰ型截骨术及双侧鼻丘脂肪瓣的应用:一种治疗可卡因滥用所致口鼻瘘的有效新技术。
Ann Plast Surg. 2008 Jan;60(1):49-52. doi: 10.1097/01.sap.0000261539.64038.a9.
3
Images in clinical medicine. Cocaine-induced palatal perforation.临床医学影像。可卡因所致腭穿孔。
N Engl J Med. 2007 Nov 8;357(19):1956. doi: 10.1056/NEJMicm066935.